A 3-year-old child, recently hospitalized for the exacerbation of a chronic illness, presents for a follow-up appointment at the pediatric clinic. The child's mother states, "He was potty trained before the hospital stay but now he is having daily accidents." Which response by the nurse is most appropriate?
1. "This is probably a reaction to the antibiotics and will disappear when the antibiotics are finished."
2. "Urinary incontinence is a common symptom of progression of cystic fibrosis. Be sure to notify the healthcare provider of this change."
3. "The child may have a urinary tract infection and needs to be evaluated."
4. "Children often regress after hospitalization. Be patient and remind him to go to the bathroom frequently."
4
Explanation:
1. Antibiotic therapy does not cause incontinence.
2. Urinary incontinence is not a symptom of cystic fibrosis.
3. There are no symptoms of a urinary tract infection (UTI).
4. Regression is a common response to hospitalization.
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