Nursing 113 Exam 2 (Answered 2022) Graded A+

Nursing 113 Exam 2 Enuresis is described as The involentary passing of urine after control should have already been established Between what age do most children gain bladder control? 2-5 years old A child around the age of 5 to 6 is experiencing day time "accidents" of wetting their pants. This child is experiencing _____________? Diurnal Enuresis A 7 year old child is frequently wetting the bed at night. This child is experiencing _______________? Nocturnal Enuresis A female child is more likely to experience which type of enuresis? Diurnal A male child is most likely to experience which type of enuresis? Nocturnal A child experiencing enuresis after what point in development is considered a red flag? After potty training has already been mastered What should a parent do if their child begins to experience enureses after potty training has been mastered? Contact their doctor to further investigate the underlying cause A child who has recently been experiencing constipation and frequent UTI's may be at risk for developing __________? Diurnal Enuresis Sexual abuse in children can often lead to a development of ______________? Diurnal Enuresis A child has not mastered potty training yet and is not experiencing nighttime bed wetting. This is described as_____________? Primary Nocturnal Enuresis A child has been potty trained for a little over 6 months now and has recently started having accidents at night. What would this be described as? Secondary Nocturnal Enuresis A parent has brought their child in and reports that their child has suddenly started wetting the bed even though the child has been potty trained and has not had any accidents within the last 8 months. The parent asks what could be causing this? List 3 things you would suggest could be the cause. Recent trauma, change in lifestyle/living situation, or sickness. What is the typical treatment for Nocturnal Enuresis? No treatment (unless caused by underlying sickness/trauma) When assessing a child for enuresis, what labs may show an indication? Blood sugars, hormones, and kidney function. What nursing interventions can you implement for a child experiencing enuresis? Educating the child and parent Provide emotion support for the child (they could be bullied) Encourage dietary changes (constipation can be a cause so high fiber diet) Monitoring When providing emotional support to a child experiencing enuresis, you will want to reassure the child of what? That eventually with treatment, they will have normal control of their bladder and this issue will resolve. What type diet could you suggest for a client experiencing enuresis? High fiber because constipation can be a cause What type practices should you encourage/suggest to a client experiencing nocturnal enuresis? Go to the bathroom before bed Do not drink fluids late at night Create a bathroom schedule Encourage them to stop and start when urinating to help strengthen those muscles and gain better control A child experiencing enuresis has been prescribed DESMOPRESSIN as treatment. The child's parent wants to know "how this will help?". How will you as the nurse respond? Desmorpressin will effect your child's kidneys and cause a decrease in urine production. This will help your child need to go less frequently. A 5 year old child has been experiencing enuresis and the parent brings the child in asking if there are any medications that can be prescribed to help their child with this problem. How will the nurse respond? There are medications to help treat this condition. These are usually a last resort treatment method and are also not approved for treatment of a child under 6 years old. A child who is experiencing Nocternal Enuresis will be receiving medication for treatment. The parent has asked which would be a better treatment (IMIPRAMINE or OXYBUTYNIN) for their child and why. Which would you suggest and why? Imipramine may be a better option because that medication actually shortens the delta-wave stage of sleep helping your child be able to wake up easier to go to the bathroom when the urge arises. A client has been prescribed OXYBUTYNIN and their parent would like to know what this medication will do to help their child, how will you respond? Oxybutynin will relax your child's bladder and help decrease the frequent urgency for your child to urinate. This medication helps treat an overactive bladder. Encopresis is described as The involuntary retention of stool A child who is very active and has a tendency to not want to stop playing in order to go to the bathroom may develop __________? Encopresis When assessing a child for Encopresis, what may be indications? (3) Irregular Bowel Movements Complains of Stomach Pains Loose stool leaking When providing care for a child experiencing Encopresis, your main two interventions will be what?