What intervention might the nurse suggest as helpful for the child with enuresis?
Decreasing fluid intake after the evening meal.
Increasing dietary fiber intake.
Applying an electric pad that gently shocks the child.
Waking the child several times during the night to urinate.
The Correct Answer is A
Choice A rationale:
Decreasing fluid intake after the evening meal is a helpful intervention for a child with enuresis. Enuresis, commonly known as bedwetting, is often related to the child's ability to control their bladder at night. Limiting fluid intake in the evening can reduce the chances of overloading the bladder and minimize the likelihood of nighttime bedwetting. It is a proactive approach to managing this common issue in children.
Choice B rationale:
Increasing dietary fiber intake is not directly related to managing enuresis. While a balanced diet is essential for overall health, it is not a primary intervention for addressing bedwetting. Enuresis is primarily related to bladder control and nighttime habits, and dietary fiber intake does not play a significant role in this context.
Choice C rationale:
Applying an electric pad that gently shocks the child is not a recommended intervention for enuresis. This approach is not only ineffective but can also be potentially harmful and traumatic for the child. It is essential to choose interventions that are safe, non-invasive, and respectful of the child's well-being.
Choice D rationale:
Waking the child several times during the night to urinate is not a sustainable or effective intervention for enuresis. Interrupting a child's sleep repeatedly can be disruptive and may not lead to long-term improvement. The primary goal is to help the child develop bladder control during sleep, and waking them up at night does not address this core issue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
5-year-old children typically enjoy rough and tumble play, which involves physical activities like wrestling, play-fighting, and other boisterous games. This type of play is common at this age as it helps children develop physical coordination, social skills, and provides an outlet for their energy.
Choice B rationale:
Playing well-organized games is not the primary characteristic of play for most 5-year-olds. While they may engage in structured activities, they tend to favor more active and less structured play like rough and tumble play.
Choice C rationale:
Preferring inside activities is not a typical characteristic of 5-year-old play. Most children of this age group enjoy outdoor play and physical activities.
Choice D rationale:
Following rules is an important developmental skill, but it is not the primary characteristic used to characterize the play of 5-year-old children. They are more focused on physical and imaginative play.
Correct Answer is B
Explanation
Choice A rationale:
Suggesting that toddlers should be able to stay dry for 2 hours before beginning bladder training is too early. Most toddlers do not develop full bladder control until around the age of 3. Starting training too early may lead to frustration for both the child and the parents. It's essential to be patient and wait until the child is developmentally ready, which is typically around the age of 3.
Choice B rationale:
Suggesting that toddlers should be able to stay dry for 3 hours before beginning bladder training is a reasonable and developmentally appropriate guideline. Around the age of 3, many children start to gain better control over their bladder and can stay dry for longer periods. This is a good indication that they may be ready for bladder training. However, it's essential to remember that every child is different, and readiness may vary from one child to another.
Choice C rationale:
Suggesting that toddlers should be able to stay dry for 4 hours before beginning bladder training may be overly restrictive and not necessary. While some children may achieve this level of bladder control, it is not a standard benchmark for readiness. Waiting for 4 hours may delay the start of bladder training unnecessarily for some children.
Choice D rationale:
Suggesting that toddlers should be able to stay dry for 5 hours before beginning bladder training is too long and not a practical guideline. Waiting for such an extended period before initiating training is not developmentally appropriate, and it may lead to difficulties and accidents. It's important to strike a balance between waiting for readiness and not delaying training for an extended period, as suggested in choice B.
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