The nurse is caring for a child with nocturnal enuresis that was not responsive to non-pharmacological modifications. The nurse anticipates the primary healthcare provider (PHCP) to provide which medication?
The nurse is caring for a child with nocturnal enuresis that was not responsive to non-pharmacological modifications. The nurse anticipates the primary healthcare provider (PHCP) to provide which medication?
A. urecholine
[23%]
B. desmopressin
[54%]
C. prazosin
[9%]
D. finasteride
[13%]
Statistics
Subject/Lesson
Subject
Child Health
Lesson
Urinary/Renal/Fluid and Electrolytes
Client Need
Test Plan
Pharmacological and Parenteral Therapies
Related Topic
Expected Actions/Outcomes
Item Type
Item Type
Knowledge/Comprehension
Explanation
Choice B is correct. Desmopressin is indicated for the treatment of diabetes insipidus and nocturnal enuresis. This medication is a synthetic form of antidiuretic hormone. It is theorized that this medication will cause the client to reabsorb water, thereby decreasing nocturnal enuresis.
Choice A is incorrect. Urecholine is a cholinergic medication that promotes urinary output and is unhelpful in managing nocturnal enuresis. In fact, this medication increases bladder muscle tone, causing contractions that initiate urination, which would be unhelpful for nocturnal enuresis.
Choice C is incorrect. Prazosin is a medication approved to treat benign prostate hyperplasia (BPH). This medication has no indication for nocturnal enuresis as this medication will dilate the urinary tract, which may be helpful for those with urolithiasis.
Choice D is incorrect. Finasteride is an antagonist of the peripheral form of testosterone, DHT. Thus, this medication is approved to treat BPH. This medication has no indication for nocturnal enuresis.
Additional Info
✓ Nocturnal enuresis usually starts at age five and may continue past age ten.
✓ The cause of this is multifactorial and may include genetic predisposition.
✓ Behavioral interventions are tried first, including a voiding diary to track the episodes and their frequency, using an enuresis alarm, executing positive reinforcement, and avoiding shaming the child.
✓ Prescriptive therapies include desmopressin or tricyclic antidepressants such as imipramine.
