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Jorge is a nine-year-old boy who never established night time bladder control an

ID: 137493 • Letter: J

Question

Jorge is a nine-year-old boy who never established night time bladder control and wets the bed every night. He does not have toileting accidents during the day. Jorge lives at home with a single working mother, who privately tells the RN that she is frustrated with the additional laundry, and having to get up extra early so her son can shower in the morning rather than at night. She asks the RN in the pediatrician’s office for advice to manage the problem at home. Jorge is excited to go on a Boy Scout camping trip, and the mother is concerned that he will experience embarrassment, because the boys and the leader could find out about this problem.
What type of enuresis is Jorge experiencing? Identify two (2) pieces of assessment data the RN should collect. How will this data be used in planning nursing care? Describe one (1) physiological, and one (1) psychosocial intervention that could help either Jorge or his mother deal with this problem. Jorge is a nine-year-old boy who never established night time bladder control and wets the bed every night. He does not have toileting accidents during the day. Jorge lives at home with a single working mother, who privately tells the RN that she is frustrated with the additional laundry, and having to get up extra early so her son can shower in the morning rather than at night. She asks the RN in the pediatrician’s office for advice to manage the problem at home. Jorge is excited to go on a Boy Scout camping trip, and the mother is concerned that he will experience embarrassment, because the boys and the leader could find out about this problem.
What type of enuresis is Jorge experiencing? Identify two (2) pieces of assessment data the RN should collect. How will this data be used in planning nursing care? Describe one (1) physiological, and one (1) psychosocial intervention that could help either Jorge or his mother deal with this problem. Jorge is a nine-year-old boy who never established night time bladder control and wets the bed every night. He does not have toileting accidents during the day. Jorge lives at home with a single working mother, who privately tells the RN that she is frustrated with the additional laundry, and having to get up extra early so her son can shower in the morning rather than at night. She asks the RN in the pediatrician’s office for advice to manage the problem at home. Jorge is excited to go on a Boy Scout camping trip, and the mother is concerned that he will experience embarrassment, because the boys and the leader could find out about this problem.
What type of enuresis is Jorge experiencing? Identify two (2) pieces of assessment data the RN should collect. How will this data be used in planning nursing care? Describe one (1) physiological, and one (1) psychosocial intervention that could help either Jorge or his mother deal with this problem.

Explanation / Answer

1. Jorge is experiencing nocturnal enuresis.
2. The two places of assessment are:
• Sleep pattern
• Pattern of nocturnal enuresis
3. Doing the assessment of sleep pattern and nocturnal enuresis will help the RN plan out a care plan for the child.
4. The nursing intervention are:
• Encourage bladder emptying before bed time.
• Provide positive reinforcements by giving rewards if the child doesn't wet the bed at night.