Which intervention should be included in the nurse's plan of care for a 7-year-old child with encopresis who has cleared the initial impaction?
a. Have the child sit on the toilet for 30 minutes when he gets up in the morning and
at bedtime.
b. Increase sugar in the child's diet to promote bowel elimination.
c. Use a Fleets enema daily.
d. Give the child a choice of beverage to mix with a laxative.
D
Feedback
A To facilitate bowel elimination, the child should sit on the toilet for 5 to 10
minutes after breakfast and dinner.
B Decreasing the amount of sugar in the diet will help keep stools soft.
C Daily Fleets enemas can result in hypernatremia and hyperphosphatemia, and are
used only during periods of fecal impaction.
D Offering realistic choices is helpful in meeting the school-age child's sense of
control.
You might also like to view...
A patient of Japanese heritage avoids asking for narcotics for pain relief. The nurse writes a nursing diagnosis of "Pain related to reluctance to take medication secondary to cultural beliefs."
If the cultural archetype is true for this particular patient, this probably means that the patient views pain as: 1) A punishment for immoral behavior. 2) A part of life. 3) Best treated with herbal teas and prayer. 4) A virtue and a matter of family honor.
A client tells the nurse about research information on the Internet to learn more about a new health problem. What should the nurse respond to this client?
1. "Information from the Internet isn't always accurate." 2. "It's best to check this information with your physician." 3. "Bring your information to the clinic so we can go through it together." 4. "I'd prefer you rely on information you haven't received from our office."
The primary cause of vulnerability is
a. Race b. Age c. Poverty d. Illness
Which of the following statements best explains why many school nurses are not able to ensure that all children receive needed health care in the schools?
a. There is a shortage of baccalaureate-prepared nurses with national school health nurse certification. b. Most nurses prefer to be employed in hospitals giving direct care. c. Most school districts are unable to afford a nurse in every school. d. School districts and taxpayers see no need for nurses in schools.