Encopresis is repeated, involuntary defecation in a child older than 4 years who has normal colon and rectal anatomy.
Fecal holding with constipation and fecal soiling.
Children with encopresis have evidence of Soiled clothing
Fecal odor without apparent awareness
Anal irritation, which leads t...
NUR-227 PEDS TEST 2 QUESTIONS AND
CORRECT ANSWERS
Encopresis ✅is repeated, involuntary defecation in a child older than 4 years who has
normal colon and rectal anatomy.
Fecal holding with constipation and fecal soiling.
Children with encopresis have evidence of ✅Soiled clothing
Fecal odor without apparent awareness
Anal irritation, which leads to scratching or rubbing of the anal area
Social withdrawal (eg, avoidance of overnight stays that involve extended contact with
others)
Urinary incontinence (urinary tract infections may also be present)
To reestablish a normal bowel habit, the child should: ✅Sit on the toilet for 5 to 10
minutes after breakfast and dinner. This routine will allow the normal gastrocolic reflex
to assist with defecation and eliminate the need for retraining to be done during school
hours.
Be given positive reinforcement that may be helpful.
Be provided these interventions for at least 3 to 6 months, during which time the rectum
will resume its normal size and the child will relearn to attend to the defecation reflex.
Be monitored for fecal impaction and if it occurs, enemas can be administered and the
dosage of mineral oil can be adjusted.
The nurse is evaluating a patient with encopresis. Which findings would the nurse
expect on assessment after taking patient history?
Select all that apply.
Child has fecal stains in the underwear.
Child plays video games for hours alone.
The child is captain of the middle school soccer team.
Child spends weekends having sleepovers with friends.
Urinalysis reveals the child's fourth urinary tract infection in 16 months. ✅Child has
fecal stains in the underwear.
Having soiled clothing is indicative of encopresis.
, Child plays video games for hours alone.
Social withdrawal is indicative of encopresis.
Urinalysis reveals the child's fourth urinary tract infection in 16 months.
Frequent urinary tract infections and urinary incontinence are indicative of encopresis.
Which patient findings indicate to the nurse that treatment of encopresis complications
has been effective?
Select all that apply.
The child does not attend school events.
Child talks about the condition with the nurse.
The child's skin is clean, dry, and free of excoriation.
Child chooses a cheeseburger, soda, and a sugar cookie for lunch.
Parents report the child has a bowel movement every 6 to 8 hours. ✅Child talks about
the condition with the nurse.
Verbalizing positive, realistic feelings about self and verbalizing appropriate ways to
achieve control over bowel incontinence are indications that treatment has been
effective.
The child's skin is clean, dry, and free of excoriation.
Maintenance of skin integrity is an indication that treatment has been effective.
Parents report the child has a bowel movement every 6 to 8 hours.
Following a regular bowel schedule is one effective treatment for children with
encopresis.
Several patients with encopresis are receiving bowel training. Which patient
demonstrates successful use of this treatment method?
The child who has had four enemas in the past week.
The child who goes to the restroom after breakfast and lunch.
The child whose parents provide a sticker after every trip to the bathroom.
The child who sits on the toilet for 10 minutes during each visit to the bathroom. ✅The
child who sits on the toilet for 10 minutes during each visit to the bathroom.
Proper bowel training is accomplished by having the child sit on the toilet for several
minutes to allow normal gastrocolic reflex and defecation.
Gastroenteritis
Patients with gastroenteritis may present with ✅Diarrhea of varying amount and
consistency
Vomiting
Abdominal pain
Tenesmus and fever
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