A mother expresses concern that her 7-year-old has episodes of nocturnal enuresis approximately 3 to 4 times per week. The nurse's best response would be which of the following? Choose all that apply
a. "Your daughter's bladder is still developing at this point in her life."
b. "Be patient; most children outgrow enuresis."
c. "Wake your daughter every 4 hours to use the bathroom."
d. "You might consider purchasing protective pads for the bed."
e. "Try a bed alarm to wake her when she starts wetting the bed at night."
B, D
Enuresis is nighttime incontinence past the stage at which toilet training has been well established. Most incidents occur during NREM sleep when the child is difficult to arouse. As the great majority of children outgrow enuresis, the best strategy is patience. In the meantime, protecting the mattress from moisture and odor will help reduce frustration and embarrassment. A bed alarm can be used for older children (typically older than age 10 or 1b. who are resistant to other behavioral strategies.
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