The nurse provides teaching for the parents of a 6-year-old client diagnosed with nocturnal enuresis. Which of the following instructions will the nurse include? Select all that apply.

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Quizplus · Accepted Answer

Involuntary bedwetting at night in a child beyond the age of expected bladder continence is known as nocturnal enuresis. Certain medications (eg, oral desmopressin) may be useful in treating nocturnal enuresis; however, nonpharmacologic techniques should be attempted first. The nurse should educate the child's parents about the following strategies: Limit the child's intake of caffeine and sugar Instruct the child to void before going to bed Avoid punishing, scolding, or ridiculing the child Encourage the child to assist with changing soiled pajamas and linens, which helps them feel more control over the situation, but provide reassurance that it is not punishment (Option B) Use positive reinforcement to motivate the child (eg, calendar showing wet and dry nights, rewards) (Option C) Awaken the child nightly at a specified time to void (Option E) Use an enuresis alarm (ie, a moisture-sensitive alarm worn on sleep clothes that awakens the child when voiding occurs) (Option A) The nurse should remind parents to avoid disposable training pants or diapers at bedtime because these discourage motivation to get up and void during the night. (Option D) Rather than restrict fluids throughout the day, parents should restrict fluids only after the evening meal (ie, take small sips). Educational objective: Nocturnal enuresis, or involuntary bed-wetting at night, is managed with a variety of interventions. Initial strategies for addressing nocturnal enuresis should include positive reinforcement, awakening the child at a specified time to void, and encouraging the child to assist with wet linen changes.

The Nurse Provides Teaching for the Parents of a 6-Year-Old