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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Loperamide: This is correct. Loperamide is an antidiarrheal medication that slows down bowel movements and is commonly prescribed for treating diarrhea.
B. Lansoprazole is a proton pump inhibitor used to treat conditions like GERD and ulcers. It is not indicated for diarrhea.
C. Lactulose is a laxative used to treat constipation and hepatic encephalopathy. It would worsen diarrhea.
D. Levothyroxine is a thyroid hormone replacement medication and is not used to treat diarrhea.
Correct Answer is D
Explanation
A. Instruct the client to take a sitz bath three times a week. While sitz baths may provide symptom relief, they are not a primary intervention for treating a UTI.
B. Request a prescription for gabapentin. Gabapentin is used for neuropathic pain, not for treating UTIs.
C. Encourage the client to drink 2 oz of grapefruit juice each day. Grapefruit juice is not recommended for UTIs; cranberry juice is often suggested instead.
D. Increase the client's fluid intake to 3 L each day. Increasing fluid intake helps flush bacteria from the urinary tract and is a key intervention in managing UTIs.
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