The nurse is caring for a toddler-age client whose mother states, "No matter what I do, I cannot get her to use the toilet for bowel movements. What would you suggest I do?" Which response by the nurse is the most appropriate?
1. "I would suggest you consult her pediatrician for further testing, because she should be able to control her bowels."
2. "I would suggest you consult a pediatric psychologist to determine why she is resistant to potty training."
3. "Resistance to toilet training can be very frustrating. She really isn't old enough to control her need to stool yet, and probably won't gain control until she is 18-24 months."
4. "I bet you get tired of changing diapers. Have you tried offering her a reward when she stools in the toilet?"
Correct Answer: 3
Children generally do not gain control of defecation until 18-24 months of age, so there is no need for further testing or psychological counseling. Recognizing the mother's concern and providing information regarding normal development of bowel control is the best nursing response. Behavior modification in a child of this age is unlikely to be successful, and continued incontinence could increase the mother's frustration if she doesn't understand normal development.
You might also like to view...
Which condition can result when antifungals are taken concurrently with corticosteroid therapy?
a. CNS depression b. Superinfection c. Anemia d. Photophobia
The nurse is educating an 80-year-old patient regarding a newly prescribed medication. The nurse's teaching strategies include which of the following? (Select all that apply.)
a. Using pictures to show how the medica-tion should be stored b. Asking the patient to use his own words to describe the medication's possible side effects c. Avoiding written instruction in favor of verbal, face-to-face communication d. Delivering the information using a slow, deliberate manner of speech e. Repeating the information at least three times during the conversation
The educator is preparing to review the diuretics that do not require potassium supplements with a nurse. Which diuretics should the educator include? Select all that apply.
A. Furosemide (Lasix) B. Chlorothiazide (Diuril) C. Amiloride (Midamor) D. Mannitol (Osmitrol) E. Spironolactone (Aldactone)
A nurse is reviewing lab reports. The nurse recalls blood plasma is located in which of the fol-lowing fluid compartments?
a. Intracellular fluid (ICF) b. Extracellular fluid (ECF) c. Interstitial fluid d. Intravascular fluid