Burns Chapter 12 Elimination Patterns questions and answers.

Burns Chapter 12 Elimination Patterns questions and answers.The primary care pediatric nurse practitioner is performing a well child exam on a 4-month-old infant who is nursing exclusively. The mother reports that the infant has had a marked decrease in the number of stools each day, from 3 to 5 stools each day to only one stool every other day. How will the nurse practitioner respond? Ask the mother to describe the color and consistency of the stools The primary care pediatric nurse practitioner is evaluating a 5-year-old child who has frequent soiling of stool associated with stomach aches and decreased appetite for the past 2 months. The parent states that the child has two or fewer formed bowel movements each week and has been toilet trained for about 2 years. Which initial assessment will the nurse practitioner make? Recent illnesses, fluid intake, changes in diet 00:36 01:22 The primary care pediatric nurse practitioner is evaluating a 4-year-old female child for enuresis. The parents reports that the child has never been dry at night and has recently begun having daytime incontinence, usually when at preschool. The nurse practitioner learns that the child does not appear to have an abnormal urine stream. What will the nurse practitioner do next? Examine the urethral meatus and labia and obtain a dipstick clean catch urinalysis. The primary care pediatric nurse practitioner is managing a 6-year-old child who has chronic constipation and encopresis. The nurse practitioner has ruled out neurogenic etiology. The parents report that the child was difficult to toilet train as a toddler. What is key to managing this child's condition? Encouraging use of maintenance medications for at least 2 months after resolution of constipation The primary care pediatric nurse practitioner is performing a well child exam on a 12-month-old infant. The parent tells the nurse practitioner that the infant has predictable bowel and bladder habits and asks about toilet training. What will the nurse practitioner tell this parent? Placing the child on a "potty" chair helps the child associate elimination cues with the toilet. The primary care pediatric nurse practitioner is performing a well child exam on a 24-month-old child. The parent tells the nurse practitioner that the child is being toilet trained and expresses frustration that on some days the child uses the toilet every time and on other days not at all. What will the nurse practitioner do? Ask the parent about the child's toilet habits and understanding of toilet training The parent of a 5-year-old child tells the primary care pediatric nurse practitioner that the child has been using the toilet to urinate for since age 3 but continues to defecate in "pull-ups." The nurse practitioner learns that the child has predictable bowel movements and a physical examination is normal. What will the nurse practitioner recommend? Putting the child on the toilet for 5 to 10 minutes at the usual time of defecation The primary care pediatric nurse practitioner evaluates a 4-year-old girl whose parent reports frequent urination in the evenings on weekdays, incontinence after voiding. The parent reports that the child has soft formed stools 5 or 6 times weekly. Which assessment will the nurse practitioner make initially? Examination for labial adhesions The primary care pediatric nurse practitioner is discussing toileting issues with the parent of a 3-year-old toddler who reports that the child has been toilet trained for several months but has recently been refusing to have bowel movements and is becoming constipated. What will the nurse practitioner do? Ask the parent about bathroom facilities in the child's day care. The primary care pediatric nurse practitioner is concerned that a toddler may have vesicoureteral reflux based on a history of dysfunctional voiding patterns and a series of urinary tract infections. Which intervention is appropriate? Referral to a urologist for evaluation The primary care pediatric nurse practitioner is counseling the parent of an 8-year-old child who has primary nocturnal enuresis. The nurse practitioner recommends an enuresis alarm, but the parent wishes to use medication. What will the nurse practitioner tell the parent? The combination of alarm therapy and intermittent drug thera