A nurse is teaching the parents of a preschooler who is experiencing urinary incontinence at night. The nurse should instruct the parents that which of the following interventions is most effective in treating enuresis?

Keeping a record of dry nights in a daily diary

Beginning medication therapy to inhibit urination

Using an alarm to wake the child at the onset of urination

Using stickers as positive reinforcement for dry nights

Answer and Explanation

The Correct Answer is C

A. Keeping a record of dry nights in a daily diary: This can be helpful for tracking progress but is not the most effective intervention for treating enuresis.
B. Beginning medication therapy to inhibit urination: Medication can be used in some cases, but it is typically not the first-line treatment for enuresis.
C. Using an alarm to wake the child at the onset of urination: This is correct. Bedwetting alarms are considered the most effective intervention for treating enuresis. They condition the child to wake up or hold urine when the bladder is full.
D. Using stickers as positive reinforcement for dry nights: This can be useful as part of a behavioral approach but is not as effective as using a bedwetting alarm.

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Correct Answer is D

Explanation

A. "Take meperidine 30 minutes before aerobic activity." Meperidine (Demerol) is not recommended for long-term use in older adults due to its side effects and potential for dependence. It is not an appropriate medication for managing rheumatoid arthritis or exercise-related pain.
B. "Take a 2-hour nap in the afternoon." While short naps can be beneficial, a 2-hour nap might interfere with nighttime sleep, exacerbating fatigue. Naps should be limited to 20-30 minutes.
C. "Avoid exercising on days when you feel tired." Regular, gentle exercise is beneficial for managing rheumatoid arthritis and fatigue. It helps maintain joint function and reduce stiffness. Avoiding exercise altogether can lead to increased stiffness and fatigue.
D. "Plan your daily schedule in advance." Planning activities in advance can help manage energy levels and avoid overexertion, which is crucial for managing fatigue in rheumatoid arthritis.

A. Provide information about the risks of a surgical procedure to the client. B. Request the client sign the informed consent form after administering a preoperative sedative. C. Mark the client's surgical site with a small strip of nonporous tape. D. Call a "time out" to verify client identity before starting a surgical procedure.

Correct Answer is D

Explanation

A. Provide information about the risks of a surgical procedure to the client. Providing risk information is part of informed consent, not specifically part of Universal Protocol.
B. Request the client sign the informed consent form after administering a preoperative sedative. Informed consent should be obtained before administering sedatives to ensure the client is fully aware and able to consent.
C. Mark the client's surgical site with a small strip of nonporous tape. The surgical site should be marked with a permanent marker to ensure it remains visible and clear throughout the surgical preparation and procedure.
D. Call a "time out" to verify client identity before starting a surgical procedure. This is correct. The Universal Protocol includes a "time out" to verify the correct patient, procedure, and site before starting the surgery.

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A nurse is teaching the parents of a preschooler who is experiencing urinary incontinence at night. The nurse should instruct the parents that which of the following interventions is most effective in treating enuresis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching an older adult client who has rheumatoid arthritis and reports fatigue. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse manager is developing an in-service about The Joint Commission's National Patient Safety Goals for a group of surgical nurses. Which of the following information regarding Universal Protocol should the nurse include in the in-service?

Correct Answer is D

Explanation

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A nurse is teaching an older adult client about safety in the home environment. Which of the following actions should the nurse recommend?

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