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. Th...
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
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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?
, Proving education to the child and parent
Providing emotional support to the child
A parent asks if there are any medications they could use to help their child who
is experiencing Encopresis, what pharmacological interventions will you
suggest?
Laxatives
Stool Softeners
Inflammatory disorders of the prostate are called what?
Prostatitis
What is a nonmalignant enlargement of the prostate?
benign prostatic hyperplasia
BPH is the ______ common __________________ in men.
Most
Benign neoplasm
A patient is experiencing BPH and is curious what alterations this will have to his
daily life. What will you tell him?
BPH is an enlargement of the prostate that can slow or cut off urine flow.
A client experiencing an enlargement of his prostate is curious what causes the
prostate to become enlarged. What will you tell him?
Hyperplasia is the cause of an enlarged prostate and that is when your prostate has an
increased rate of cell reproduction.
A 52 year old man who has a history of hypertension, small bowel resection, and
is on medication for erectile dysfunction comes in for and assessment. Which
part of his health history puts him at risk for development of BPH?
Age (over 40)
Hypertension (Heart disease)
An African American man age 41 who has a history of smoking, lymphatic cancer,
diabetes, and has recently been on a low sodium diet comes in for an
assessment. Which part of his health history indicates an increased risk for
developing BPH?
Racial background (African American)
age (more likely to develop closer to 40 than Caucasian individuals)
Smoking
Diabetes
A 73 year old man who has a history of cirrhosis of the liver, colon cancer, is a
recovering alcoholic, and has recently had a prostatectomy comes in for an
assessment. Which parts of his health history indicates an increased risk for
developing BPH?
Recovering alcoholic (heavy alcoholic consumption)
Cirrhosis of the liver (if caused by alcohol consumption)
BUT this patient cannot have BPH because he has already had his prostate removed
(prostatectomy)
A 45 year old man comes in for an assessment and is curious what preventative
measures he can take to lower his risk for developing BPH. What will you tel him?
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