A school-age child is being evaluated for secondary enuresis.
Which finding should the practical nurse (PN) identify as a sign of this condition?
Impulsive and hyperactive behaviors.
Involuntary passage of feces.
Increased thirst.
Declining invitations for sleepovers.
The Correct Answer is D
Choice A rationale
Impulsive and hyperactive behaviors are typically associated with conditions such as attention-deficit/hyperactivity disorder (ADHD), which involves neurodevelopmental differences affecting executive function and impulse control. While these behaviors can sometimes lead to accidents, they are not a direct sign of secondary enuresis.
Choice B rationale
Involuntary passage of feces, known as encopresis, is a distinct elimination disorder characterized by the repeated passage of stool into inappropriate places, often due to chronic constipation and overflow incontinence. It is a separate condition from enuresis, which specifically refers to involuntary urination.
Choice C rationale
Increased thirst, or polydipsia, is a common symptom of conditions like diabetes mellitus or diabetes insipidus, where the body attempts to compensate for fluid imbalances or high glucose levels. While some medical conditions causing enuresis might also involve increased thirst, it is not a direct sign of enuresis itself.
Choice D rationale
Declining invitations for sleepovers is a behavioral manifestation often observed in children with enuresis. The fear of embarrassment and shame associated with involuntary urination during sleep can lead them to avoid situations where their condition might be exposed, such as overnight stays at friends' houses.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["25"]
Explanation
Step 1 is: Subtract the dry diaper weight from the wet diaper weight to find the weight of the urine. 75 grams - 50 grams = 25 grams.
Step 2 is: Convert the weight of the urine from grams to milliliters, as 1 gram of urine is approximately equal to 1 mL. 25 grams = 25 mL. The urine output is 25 mL.
Correct Answer is C
Explanation
Choice A rationale
Preventing further disability is often challenging with established developmental disabilities, which typically involve permanent neurological or genetic conditions. Interventions focus on managing symptoms and optimizing function rather than halting the underlying progression, as the primary pathology is often non-progressive or already expressed.
Choice B rationale
While rehabilitation is an integral part of care for children with developmental disabilities, it serves as a means to an end, aiming to improve function and quality of life. The ultimate goal extends beyond mere rehabilitation to encompass holistic development and independent functioning.
Choice C rationale
The primary goal for a child with a developmental disability is to empower them to reach their highest possible level of physical, cognitive, social, and emotional functioning. This involves individualized interventions, therapies, and educational support tailored to their specific needs and strengths, fostering independence and participation.
Choice D rationale
Promoting social acceptability is an important aspect of care, as it contributes to the child's quality of life and integration into society. However, it is a secondary objective, stemming from the broader goal of helping the child develop their full potential and navigate social interactions effectively.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.