What intervention might the nurse suggest as helpful for the child with enuresis?
Decreasing fluid intake after the evening meal.
Increasing dietary fiber intake.
Applying an electric pad that gently shocks the child.
Waking the child several times during the night to urinate.
The Correct Answer is A
Choice A rationale:
Decreasing fluid intake after the evening meal is a helpful intervention for a child with enuresis. Enuresis, commonly known as bedwetting, is often related to the child's ability to control their bladder at night. Limiting fluid intake in the evening can reduce the chances of overloading the bladder and minimize the likelihood of nighttime bedwetting. It is a proactive approach to managing this common issue in children.
Choice B rationale:
Increasing dietary fiber intake is not directly related to managing enuresis. While a balanced diet is essential for overall health, it is not a primary intervention for addressing bedwetting. Enuresis is primarily related to bladder control and nighttime habits, and dietary fiber intake does not play a significant role in this context.
Choice C rationale:
Applying an electric pad that gently shocks the child is not a recommended intervention for enuresis. This approach is not only ineffective but can also be potentially harmful and traumatic for the child. It is essential to choose interventions that are safe, non-invasive, and respectful of the child's well-being.
Choice D rationale:
Waking the child several times during the night to urinate is not a sustainable or effective intervention for enuresis. Interrupting a child's sleep repeatedly can be disruptive and may not lead to long-term improvement. The primary goal is to help the child develop bladder control during sleep, and waking them up at night does not address this core issue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Speaking in 2-word sentences is not a developmental milestone expected in a 9-month-old infant. Language development typically involves babbling, imitating sounds, and understanding simple commands at this age.
Choice B rationale:
Beginning to use a spoon rather sloppily is also not a typical milestone for a 9-month-old. Infants at this age are just starting to explore solid foods and are more likely to use their hands for self-feeding.
Choice C rationale:
Creeping along the floor is an appropriate developmental milestone for a 9-month-old. This crawling or creeping motion is a precursor to crawling and walking. It's a sign of motor development and exploration.
Choice D rationale:
Grasping objects with a palmar grasp is a skill that infants typically develop at a much younger age, usually within the first few months of life. By 9 months, they should have progressed to a more refined pincer grasp.
Correct Answer is B
Explanation
Choice A rationale:
"Thumb-sucking is detrimental to the eruption of the child's teeth and must be stopped as soon as possible.”. This response is not the most helpful because it can create unnecessary anxiety for the father and the child. While prolonged thumb-sucking can affect dental development, it's not an urgent concern in most cases.
Choice B rationale:
"Most children will stop thumb-sucking naturally by school age.”. This is the most helpful response. It reassures the father that thumb-sucking is a common behavior among preschool-age children and that many children naturally outgrow it as they enter school age. It encourages patience and avoids unnecessary intervention.
Choice C rationale:
"Over-the-counter treatments that give a bad taste can be placed on the thumb to discourage the practice.”. This option suggests using a topical solution to discourage thumb-sucking. While it's a valid approach, it may not be necessary for most children, and a more conservative approach (choice B) is often preferable.
Choice D rationale:
"Consistently touching the child's fingers whenever he sucks his thumb is most effective.”. This response may not be as effective or practical as choice B, which advises patience. Constantly touching the child's fingers may disrupt their comfort without necessarily leading to a cessation of thumb-sucking.
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