A nurse has developed a plan of care for a family whose 7-year-old has been experiencing enuresis. Which of the following statements by the parents indicates that further teaching is needed?

"We will limit our child's caffeinated beverages"

"We will limit fluid during the day."

"We will wake our child at scheduled intervals at night to void."

"We will need to administer anticholinergics if behavioral strategies are ineffective."

Answer and Explanation

The Correct Answer is B

A. Limiting caffeinated beverages is a good strategy as caffeine can increase urine production and contribute to enuresis.

B. Limiting fluid intake during the day is not recommended as it can lead to dehydration. Instead, fluids should be limited in the evening before bedtime.

C. Waking the child at scheduled intervals to void is a common behavioral strategy to help manage enuresis.

D. Anticholinergic medications may be prescribed if behavioral strategies are ineffective, indicating that the parents have received proper education on this potential intervention.

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Correct Answer is A

Explanation

A. Hemophilia is a bleeding disorder that affects the clotting process, and the partial thromboplastin time (PTT) is typically prolonged in individuals with hemophilia, indicating a deficiency in clotting factors.

B. Hemoglobin levels may remain normal unless the client experiences significant bleeding episodes.

C. Platelet count is usually normal in hemophilia, as the disorder affects clotting factors rather than platelet production.

D. Hematocrit levels may also remain normal unless there is significant bleeding, which would lower hematocrit due to blood loss.

A. Notify your child's healthcare provider if NSAIDs are ineffective. B. Apply cool compresses to relieve swollen joints. C. Encourage your child to take a 45-minute daily nap. D. Recommended exercises, such as running, are encouraged to promote range of motion.

Correct Answer is A

Explanation

A. If NSAIDs (nonsteroidal anti-inflammatory drugs) are ineffective in managing symptoms of JIA, the healthcare provider needs to be notified as other treatments, such as disease-modifying antirheumatic drugs (DMARDs) or biologics, may be necessary.

B. Warm compresses, rather than cool compresses, are typically recommended to relieve joint pain and stiffness in JIA.

C. While rest is important, excessive napping can lead to stiffness and decreased mobility. Regular, gentle activity is encouraged to maintain joint function.

D. High-impact exercises like running may be too strenuous for children with JIA and can exacerbate joint pain. Low-impact activities such as swimming or cycling are generally recommended to promote range of motion without putting undue stress on the joints.

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A nurse has developed a plan of care for a family whose 7-year-old has been experiencing enuresis. Which of the following statements by the parents indicates that further teaching is needed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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