Author Question: A child with secondary enuresis who complains of dysuria or urgency should be evaluated for which ... (Read 73 times)

sjones · **on:** Jun 27, 2018

A child with secondary enuresis who complains of dysuria or urgency should be evaluated for which condition?

a. Hypocalciuria
b. Nephrotic syndrome
c. Glomerulonephritis
d. Urinary tract infection

Question 2

Which is an appropriate intervention for a child with nephrotic syndrome who is edematous?

a. Teach the child to minimize body movements.
b. Change the child's position every 2 hours.
c. Avoid the use of skin lotions.
d. Bathe every other day.

perkiness · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

D
Complaints of dysuria or urgency from a child with secondary enuresis suggest the possibility of a urinary tract infection. An excessive loss of calcium in the urine (hypercalciuria) can be associated with complaints of painful urination, urgency, frequency, and wetting. Nephrotic syndrome is not usually associated with complaints of dysuria or urgency. Glomerulonephritis is not a likely cause of dysuria or urgency.

Answer to Question 2

B
Frequent position changes decrease pressure on body parts and help relieve edema in dependent areas. The child with edema is at risk for impaired skin integrity. It is important for the child to change position frequently to prevent skin breakdown. Applying lotion to the skin helps to increase circulation. Bathing daily removes irritating body secretions from the skin.