A parent asks the nurse to explain what is meant by a secondary enuretic, because the pediatrician referred to this parent's child as a secondary enuretic. Which of the following statements by the nurse would best explain a secondary enuretic?
a. "A child who primarily has encopresis and secondarily has enuresis as a problem."
b. "In secondary enuresis the cause is not the structure of the urinary system but some pathogen or problem that has come into the system."
c. "Secondary enuretics have suffered enuresis in the past, and this is a repeat of the problem."
d. "A secondary enuretic is a child who has been dry for at least 3 to 6 months and then resumes wetting."
D
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A Incorrect. Encopresis is fecal incontinence and is not necessarily related to enuresis, primary or secondary. This statement would not best explain a secondary enuretic.
B Incorrect. Secondary enuresis occurs then a child has been dry for at least 3 to 6 months and then resumes wetting, and has nothing to do with the etiology. This statement would not best explain a secondary enuretic.
C Incorrect. Secondary enuresis occurs then a child has been dry for at least 3 to 6 months and then resumes wetting, not that it is being repeated. This statement would not best explain a secondary enuretic.
D Correct. Enuresis is defined as involuntary voiding of urine beyond the expected age at which voluntary control should be achieved, usually 6 years of age. Secondary enuresis occurs then a child has been dry for at least 3 to 6 months and then resumes wetting.
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