Question

A 10-year-old child with sickle cell anemia continues to wet the bed at night. The child feels frustrated about this and is too embarrassed to sleep over at a friend's house. Which response by the nurse would be most appropriate?

"A bladder training program may help to decrease nighttime wetting." "Force fluids during the day and restrict fluids after 7 p.m." "Perhaps your friends could sleep over at your house instead." "Decrease fluid intake during the day and take no liquids before bedtime."

Answer 1

A bladder training program is the most appropriate response to assist the 10-year-old child with sickle cell anemia in managing nighttime wetting, as it tackles the issue without risking dehydration.

Step-by-step explanation:

The best response from the nurse in regards to a 10-year-old child with sickle cell anemia who is experiencing bedwetting would be to suggest a "bladder training program" which may help decrease nighttime wetting. It's important to note that restricting fluid intake might not address the underlying issue and could lead to dehydration or other health issues, particularly in a child with sickle cell anemia. A bladder training program will have a more holistic approach in managing enuresis and it's generally important to maintain a good hydration status for overall health.

Bedwetting, also known as enuresis, can be common in children and can have various causes, including physiological and psychological factors. A bladder training program involves strategies and exercises to help the child gain control over their bladder and reduce bedwetting episodes.