A nurse is teaching the guardian of a 5-year-old child who has encopresis about management of the condition.
Which of the following statements by the guardian indicates an understanding of the teaching?
I will limit my child's fluid intake
I will increase my child's dairy intake
I will have my child sit in the toilet for 20 minutes at a time
I will have my child try to defecate 15 minutes after each meal .
The Correct Answer is D
Choice A rationale
Limiting a child’s fluid intake is not recommended for managing encopresis. Adequate hydration is important for preventing constipation, which is often associated with encopresis.
Choice B rationale
Increasing a child’s dairy intake is not typically recommended for managing encopresis. Some dairy products can contribute to constipation in some children.
Choice C rationale
Having a child sit on the toilet for 20 minutes at a time is not typically recommended. Prolonged sitting on the toilet can cause discomfort and create a negative association with bowel movements.
Choice D rationale
Having a child try to defecate 15 minutes after each meal is a common recommendation for managing encopresis. This takes advantage of the natural increase in colon activity following meals.
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Related Questions
Correct Answer is A
Explanation
Choice A rationale
The pneumococcal conjugate vaccine (PCV13) is recommended for children with sickle cell anemia. This is because individuals with sickle cell disease are at an increased risk of infection, and the PCV13 vaccine can help protect against Streptococcus pneumoniae, a bacterium that can cause serious infections like pneumonia and meningitis.
Choice B rationale
The Respiratory syncytial virus (RSV) vaccine is not typically included in the immunization schedule for children with sickle cell anemia.
Choice C rationale
While the Measles, Mumps, and Rubella (MMR) vaccine is part of the standard immunization schedule for all children, it is not specifically indicated for children with sickle cell anemia.
Choice D rationale
The Rotavirus vaccine is part of the standard immunization schedule for all infants, but it is not specifically indicated for children with sickle cell anemia.
Correct Answer is D
Explanation
Choice A rationale
The human papillomavirus (HPV) vaccine is not typically given at 12 months of age. It is usually administered to adolescents.
Choice B rationale
The inactivated polio virus vaccine is not typically given at 12 months of age. It is usually administered earlier in infancy.
Choice C rationale
The hepatitis B vaccine is not typically given at 12 months of age. It is usually administered shortly after birth and in the first few months of life.
Choice D rationale
The varicella vaccine, which protects against chickenpox, is typically given at 12 months of age.
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