Which cause of pediatric enuresis must be ruled out before psychological causes are investigated? Select all that apply.

Small bladder capacity

Urinary tract infection/TI)

Stress incontinence

Regression

Cognitive dysfunction

Diabetes mellitus

Answer and Explanation

Correct Answer : B,F

A. Small bladder capacity can contribute to enuresis but may not need to be ruled out before addressing psychological factors.

B. Urinary tract infections can cause enuresis and should be evaluated and treated before investigating psychological causes.

C. Stress incontinence typically refers to the involuntary loss of urine due to pressure and may be a psychological factor rather than a physiological cause.

D. Regression can be a behavioral response but is not a medical cause that needs to be ruled out.

E. Cognitive dysfunction can contribute to enuresis but is not primarily a medical cause that needs to be ruled out.

F. Diabetes mellitus can lead to increased urination (polyuria) and should be evaluated as a potential medical cause before considering psychological factors.

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Free Nursing Study Resources

Correct Answer is ["300"]

Explanation

To calculate the dose of ceftriaxone for the child, first convert the child's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The child weighs 33 pounds, which is approximately 15 kilograms when divided by 2.2. The prescribed dose is 60 mg/kg/day, so for a 15 kg child, this would be 900 mg per day. Since the medication is to be administered in three divided doses, you would divide 900 mg by 3, resulting in 300 mg per dose.

A. Encourage frequent fluids by mouth B. Encourage frequent voiding C. Wipe perineal area front to back D. Wear nylon underwear E. Complete the course of prescribed antibiotics

Correct Answer is ["A","B","C","E"]

Explanation

A. Encouraging frequent fluid intake helps to dilute the urine and promotes urination, which can help flush out bacteria.

B. Frequent voiding is essential to reduce the risk of bacterial growth in the bladder and to alleviate symptoms.

C. Wiping from front to back is important in preventing the spread of bacteria from the rectal area to the urethra, thereby reducing the risk of UTIs.

D. Wearing nylon underwear may trap moisture and create an environment conducive to bacterial growth; cotton underwear is preferred.

E. Completing the course of antibiotics is crucial for fully eradicating the infection and preventing recurrence.

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Which cause of pediatric enuresis must be ruled out before psychological causes are investigated? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["300"]

Explanation

A nurse is caring for a child with a urinary tract infection. Which of the following should the nurse include in teaching for the child and family? Select all that apply

Correct Answer is ["A","B","C","E"]

Explanation

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