The nurse is assisting the family of a child with a history of encopresis. What should be included in the nurse's discussion with the family?
a. Instruct the parents to sit the child on the toilet at twice-daily routine intervals.
b. Instruct the parents that the child will probably need to have daily enemas.
c. Suggest the use of stimulant cathartics weekly.
d. Reassure the family that most problems are resolved successfully, with some relapses during periods of stress.
ANS: D
Children may be unaware of a prior sensation and be unable to control the urge after it begins. They may be so accustomed to bowel accidents that they may be unable to smell or feel them. Family counseling is directed toward reassurance that most problems resolve successfully, although relapses during periods of stress are possible. Sitting the child on the toilet is not recommended because it may intensify the parent–child conflict. Enemas may be needed for impactions, but long-term use prevents the child from assuming responsibility for defecation. Stimulant cathartics may cause cramping that can frighten children.
You might also like to view...
When providing discharge instructions to a client who has had a cesarean birth, which of the following points should the nurse include?
A) Restrictions about lifting B) Deep-breathing exercises every 2 hours C) Use of pillows to elevate the buttocks D) Benefits of Sims lateral position
MC How would providing care to families of homicide and suicide victims best be addressed on the community level?
A. Assist families to find positive ways to cope with loss. B. Referral to assistance with legal and other tasks as needed. C. Advocate for support services for families of victims. D. Assist family members to work through feelings of grief and guilt.
The advanced-practice nurse is performing a testicular exam on a young caucasian male patient. The practitioner find a lump, which the patient reports id painless, This findings is considered the most common manifestation of which disease or disorder?
A. Testicular cancer B. ED C. Prostate cancer D. Epididymitis
The four parts of every communication are the ____________________, the ____________________, the ,____________________, and ____________________.
Fill in the blank(s) with the appropriate word(s).