Which intervention should be included in the nurse's plan of care ...

[skymedlock]

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.

Question 2

A woman with a history of a cystocele should contact the physician if she experiences
 
  a. Involuntary loss of urine when she coughs
  b. Constipation
  c. Backache
  d. Urinary frequency and burning

[sailorcrescent]

Answer to Question 1

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.

Answer to Question 2

D
Feedback
A Involuntary loss of urine during coughing is stress incontinence and is not an
emergency.
B Constipation may be a problem with rectoceles.
C Back pain is a symptom of uterine prolapse.
D Urinary frequency and burning are symptoms of cystitis, a common problem
associated with cystocele.

[skymedlock]

Gracias!

[Joy Chen]

TYSM