Burns Chapter 12 Elimination Patterns
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? -
correct answerPutting 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? - correct answerExamination for
labial adhesions
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? - correct answerReferral 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? - correct answerThe combination of alarm therapy and intermittent drug
therapy is best.
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? - correct answerAsk the
parent about bathroom facilities in the child's day care.
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? - correct answerExamine the urethral meatus
and labia and obtain a dipstick clean catch urinalysis.
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? - correct answerRecent illnesses, fluid
intake, changes in diet
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? -
correct answerPutting 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? - correct answerExamination for
labial adhesions
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? - correct answerReferral 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? - correct answerThe combination of alarm therapy and intermittent drug
therapy is best.
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? - correct answerAsk the
parent about bathroom facilities in the child's day care.
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? - correct answerExamine the urethral meatus
and labia and obtain a dipstick clean catch urinalysis.
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? - correct answerRecent illnesses, fluid
intake, changes in diet
