A nurse is reinforcing teaching with the guardian of a school-age child who has enuresis. Which of the following statements should the nurse make?
Explanation & Rationale
A. You should limit the amount of fluid your child drinks an hour before bedtime is not entirely wrong, but it’s not the most comprehensive approach. While limiting fluids before bedtime can help reduce nighttime urination, it does not address the root cause of enuresis. Effective management involves behavior modification and consistent monitoring. B. "You should maintain a diary to record dry nights" is correct. Keeping a record of the child’s dry and wet nights can help track progress, provide reassurance to the guardian, and help identify patterns that may inform the treatment plan. C. You should have your child urinate every hour while awake is not recommended for enuresis. While encouraging regular bathroom visits during the day can be helpful, having the child urinate every hour is not necessary and may be impractical. Establishing a routine with a focus on bladder training is more effective. D. You should decrease the amount of soluble fiber in your child's diet is incorrect. Soluble fiber is not related to enuresis, and dietary restrictions should not be made unless there is a specific medical reason. Generally, a balanced diet with adequate fiber is recommended for overall health.