The nurse is counseling parents concerned about their child experiencing frequent nocturnal enuresis. The nurse should recommend the parents to do which of the following?
The nurse is counseling parents concerned about their child experiencing frequent nocturnal enuresis. The nurse should recommend the parents to do which of the following?
A. Establish and maintain a voiding diary for the child.
[81%]
B. Discipline the child after each bedwetting episode.
[3%]
C. Apply diapers or pull-ups routinely at night.
[15%]
D. Have the child go to bed with a full bladder.
[1%]
Statistics
Subject/Lesson
Subject
Child Health
Lesson
Urinary/Renal/Fluid and Electrolytes
Client Need
Test Plan
Physiological Adaptation
Related Topic
Illness Management
Item Type
Item Type
Application
Explanation
Choice A is correct. Establishing a voiding diary/log for the client is an effective strategy. Keeping a voiding diary helps identify patterns and triggers related to nocturnal enuresis. It provides valuable information for healthcare providers to tailor interventions to.
Choice B is incorrect. Disciplining a child for nocturnal enuresis is not an effective strategy as this behavior may be psychologically harmful to the child. A supportive and understanding approach should be taken to manage this condition.
Choice C is incorrect. Diapers or pull-ups should not be applied as these devices may enable a child to have enuresis and reinforce not waking up. It is essential to explore other strategies and involve healthcare providers for a comprehensive approach.
Choice D is incorrect. Going to bed with a full bladder may contribute to nocturnal enuresis. Encouraging regular voiding before bedtime is a more helpful approach.
Additional Info
✓ Nocturnal enuresis refers to the involuntary passage of urine during sleep, commonly known as bedwetting. This condition is normal in younger children, especially during the toilet training phase. However, when bedwetting persists beyond a certain age (typically around 5-6 years old) or recurs after a period of dryness, it may be considered nocturnal enuresis.
✓ 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 and include a voiding diary to track the episodes and their frequency, use an enuresis alarm, execute positive reinforcement, and avoid shaming the child.
✓ Prescriptive therapies include desmopressin or tricyclic antidepressants such as imipramine.
