A nurse is caring for an 8-year-old patient who is embarrassed ...

[bcretired]

A nurse is caring for an 8-year-old patient who is embarrassed about urinating in bed at night. Which intervention should the nurse suggest to reduce the frequency of this occurrence?
 
  a. Set your alarm clock to wake you every 2 hours, so you can get up to void.
  b. Line your bedding with plastic sheets to protect your mattress.
  c. Drink your nightly glass of milk earlier in the evening.
  d. Empty your bladder completely before going to bed.

Question 2

A patient has severe flank pain. The urinalysis reveals presence of calcium phosphate crystals. The nurse will anticipate an order for which diagnostic test?
 
  a. Intravenous pyelogram
  b. Mid-stream urinalysis
  c. Bladder scan
  d. Cystoscopy

[kingdude89]

Answer to Question 1

ANS: C
Nightly incontinence and nocturia are often resolved by limiting fluid intake 2 hours before bedtime. Setting the alarm clock to wake does not correct the physiological problem, nor does lining the bedding with plastic sheets. Emptying the bladder may help with early nighttime urination but will not affect urine produced throughout the night from late-night fluid intake.

Answer to Question 2

ANS: A
Flank pain and calcium phosphate crystals are associated with renal calculi. An intravenous pyelogram allows the provider to observe pathological problems such as obstruction of the ureter. A mid-stream urinalysis is performed for a routine urinalysis or if an infection is suspected; a urinalysis was already performed, a mid-stream would not be obtained again. A cystoscopy is used to detect bladder tumors and obstruction of the bladder outlet and urethra. A bladder scan measures the amount of urine in the bladder.

[bcretired]

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