Asked by Cassandra Vaughn-Andrews on Jun 18, 2024
Verified
The nurse is conducting discharge teaching to parents of a preschool child with myelomeningocele, repaired at birth, being discharged from the hospital after a urinary tract infection (UTI) . Which should the nurse include in the discharge instructions related to management of the child's genitourinary function? (Select all that apply.)
A) Continue to perform the clean intermittent catheterizations (CIC) at home.
B) Administer the oxybutynin chloride (Ditropan) as prescribed.
C) Reduce fluid intake in the afternoon and evening hours.
D) Monitor for signs of a recurrent urinary tract infection.
E) Administer furosemide (Lasix) as prescribed.
Clean Intermittent Catheterizations
A technique for bladder drainage involving the regular insertion of a catheter to empty the bladder, reducing the risk of infection.
Oxybutynin Chloride
A medication used to treat symptoms of overactive bladder, such as frequent or urgent urination, by helping to relax bladder muscles.
- Elucidate prevalent complications and correct nursing management in cases of myelomeningocele.
- Acquire knowledge about the care strategies and interventions necessary for children suffering from myelomeningocele or injuries to the spinal cord.
Verified Answer
SM
Stela MartelloJun 25, 2024
Final Answer :
A, B, D
Explanation :
Discharge teaching to prevent renal complications in a child with myelomeningocele include: (1) regular urologic care with prompt and vigorous treatment of infections; (2) a method of regular emptying of the bladder, such as CIC taught to and performed by parents and self-catheterization taught to children; (3) medications to improve bladder storage and continence, such as oxybutynin chloride (Ditropan) and tolterodine (Detrol). Fluids should not be limited and Lasix is not used to improve renal function for children with myelomeningocele.
Learning Objectives
- Elucidate prevalent complications and correct nursing management in cases of myelomeningocele.
- Acquire knowledge about the care strategies and interventions necessary for children suffering from myelomeningocele or injuries to the spinal cord.