Chp 19: Urinary Function

A nurse presents at a conference regarding functional consequences related to urinary elimination. Which of the following statements should the nurse include?

"Excretion of penicillin and cimetidine are decreased in older adults."

The nurse is assisting an older adult client with changing the client's sanitary briefs, which revealed that the client was incontinent of urine. Which statement by the client requires further follow up by the nurse?

"I have found this is something that happens from time to time at my age."

A nurse administers medications to an older man. Which of the following statements if made by the client indicates understanding of the use of tamsulosin?

"My urine flow starts much faster now."

The nurse educates an older adult client with stress incontinence. Which statement will the nurse include in the education?

"Your condition is a result of increased pressure in the abdomen."

The nurse is providing education to an older adult client to promote urinary wellness and self-care. Which statements will the nurse include in the teaching? Select all that apply.

- "It may be helpful to be aware of your urinary patterns after eating and drinking." - "Controlling other health conditions like constipation can improve urinary wellness." - "Limiting fluid intake is not an effective way to address urinary conditions." - "Thirst is not a good indicator of your need for fluid intake."

The nurse assesses an older woman regarding urinary health. Which of the following interview questions are appropriate? (Select all that apply.)

- Do you ever leak urine? - Do you ever wear pads or protective garments to protect your clothing from wetness? - Do you have any discomfort or burning when you pass urine?

A nurse instructs a class of older adult women about Kegel exercises. In which of the following urinary conditions would Kegel exercises be effective? (Select all that apply.)

- pelvic organ prolapse - stress incontinence - urinary retention

While the nurse is performing an assessment on an older adult client, the client states, "Someone my age can expect to be incontinent of urine from time to time." How will the nurse respond?

Assess the client's attitudes and knowledge about urinary function.

A nurse develops a plan of care for a family with nursing diagnosis of Caregiver Role Strain related to urinary incontinence. Which of the following interventions is the highest priority?

Assist the client to the bathroom prior to bedtime.

A nurse cares for a 92-year-old woman with urinary incontinence. Which of the following age-related changes is the rationale behind assisting client to the bathroom every 2 hours?

Degenerative changes in the cerebral cortex

A nurse teaches an older adult man to perform pelvic floor muscle exercises (PFME)? Which of the following should be included in a nurse's instructions?

Identify the correct muscle by making the base of your penis move up and down.

A 79-year-old man was admitted to the hospital for knee arthroplasty (replacement) due to osteoarthritis. During recovery, he developed postoperative pneumonia and became incontinent of urine while recovering from this serious infection. While being treated on the acute medicine unit, he remained in bed for several days. This client's urinary incontinence and other health challenges are most likely to result in what nursing diagnosis?

Impaired skin integrity

A nurse administers medications to older adults in a long-term care facility. Which of the following actions is most appropriate when the client with dementia is newly prescribed an antimuscarinic agent for urge urinary incontinence?

Monitor the client closely for worsening cognitive impairment

A nurse assesses a 70-year-old man who has high blood pressure and COPD). He has been prescribed nicardipine and ipratropium inhaler. This medication combines a calcium-channel blocker and an anticholinergic. For which of the following urinary effects should the nurse teach the client to monitor?

Nocturia

The staff nurse at a long-term care facility is training a newly hired nurse on how to promote the urinary function of older adult clients. Which behavior by the newly hired nurse requires further follow up by the staff nurse?

Proactively using absorbent products for clients in case they experience incontinence.

A nurse assesses an older adult 24 hours after a retropubic suspension surgical procedure. The client is confused, exhibits muscle twitching, and states she is nauseated. Which laboratory data should the nurse assess?

Sodium

The older client has impaired urinary elimination. Which goal is the most important to facilitate physiologic balance?

The client achieves partial or complete restoration of bladder control.

The nurse is performing a urinary assessment on an older adult client with urinary incontinence. Which of the client's conditions may be contributing to this problem?

The client has overactive bladder syndrome.

An 89-year-old woman has developed urinary incontinence. The woman states, "When I have to go, I go. I can't make it to the bathroom before it leaks out." For which type of incontinence should the nurse develop a plan of care?

Urge incontinence

The nurse instructs an older client on performance of Kegel exercises. Which direction should the nurse provide to help the client identify the appropriate muscle to exercise?

Void and stop the stream

A nurse assesses the urinary elimination of older adults. Which of the following actions by the nurse is most appropriate?

Work to identify terms that the older adult comprehends.

The nurse identifies interventions to prevent the development of a urinary tract infection (UTI) in an older client. What assessment finding caused the nurse to add these interventions to the plan of care?

treatment for diabetes mellitus

A home care nurse evaluated the plan care for the older woman with urge incontinence. Which of the following statements by the client indicates the need for further teaching?

"I still have to get up two times each night to urinate."

The nurse is evaluating the effectiveness of the care plan for an older adult client with urinary incontinence. Which statement by the client indicates that the care plan has been effective?

"I'm going longer periods of time between episodes of incontinence."

Following a prolonged hospital stay due to an exacerbation of congestive heart failure, an older adult woman has returned to the nursing home where she normally resides. The woman became incontinent of urine during her time in the hospital, a problem that nursing staff wish to now resolve. What action should her caregivers take in performing continence training?

Assist the woman with toileting at timed intervals throughout the day.