Module 7 Gero Elimination; Digestion; Bowel Elimination (constipation and UTI exemplars)
An older adult client admits to experiencing urinary incontinence. Which question will the nurse ask first?
"When did it start?" Topic 10: Urinary Elimination and Reproduction - Page 293
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 Topic 10: Urinary Elimination and Reproduction - Page 290
The nurse identifies interventions to prevent the development of a urinary tract infection (UTI) in an older adult client. What assessment finding caused the nurse to add these interventions to the plan of care?
treatment for diabetes mellitus Topic 10: Urinary Elimination and Reproduction - Page 294
An older adult client has developed urinary incontinence. The client states, "When I have to go, I go. I cannot make it to the bathroom before it leaks out." For which type of incontinence should the nurse develop a plan of care?
urge incontinence Topic 10: Urinary Elimination and Reproduction - Page 293
The nurse is reviewing lifestyle changes with an older adult client to support urinary continence. Which statement by the client requires further follow up by the nurse?
"I will stay at home to ensure that I can remain close to the toilet." Topic 10: Urinary Elimination and Reproduction - Page 295
A home care registered nurse evaluated the plan of care for an older adult client with urge incontinence. Which statement by the client indicates the need for further teaching?
"I am concerned. I still have to get up once or twice per night to urinate." Topic 10: Urinary Elimination and Reproduction - Page 293
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." Topic 10: Urinary Elimination and Reproduction - Page 295
The nurse reviews an older adult client's urinary symptoms. Which statement by the client requires follow up by the nurse?
"I have trouble making it to the restroom on time." Topic 10: Urinary Elimination and Reproduction - Page 289
An older adult client is embarrassed because of an episode of urinary incontinence associated with a fecal impaction. What should the nurse explain to the client about this type of incontinence?
"It was probably because of your bowel problem." Topic 10: Urinary Elimination and Reproduction - Page 293
A 75-year-old client tells the nurse, "When I feel the need to urinate, I cannot hold it until I get to the toilet." Which suggestion would be appropriate?
"Remind yourself to urinate every two hours during the day." Topic 10: Urinary Elimination and Reproduction - Page 295
While the nurse is educating an older adult client about urinary function, the client asks, "What are some changes that happen with age that affect urination?" Which statement will the nurse include in the response?
"Urinary tract muscles decrease in elasticity, contributing to urinary frequency and urgency." Topic 10: Urinary Elimination and Reproduction - Page 291
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 intra-abdominal pressure." Topic 10: Urinary Elimination and Reproduction - Page 293
A gerontological nurse is providing care to several older adult clients. On which client's plan of care will the nurse include teaching of Kegel exercises?
67-year-old woman living with stress incontinence since birthing children Topic 10: Urinary Elimination and Reproduction - Page 295
Which teaching will the nurse include in a urinary health promotion webinar for aging clients?
Adequate fluid intake Topic 10: Urinary Elimination and Reproduction - Page 290
An older adult client just had an episode of incontinence and the nurse is assisting the client in cleaning up. The client says, "I am so sorry that you have to do this." Which topic will the nurse include in client teaching?
Attempt to void every 2 hours. Topic 10: Urinary Elimination and Reproduction - Page 295
What action should the nurse prioritize when trying to prevent an older adult client's risk for urosepsis?
Avoid the use of urinary catheters whenever possible. Topic 10: Urinary Elimination and Reproduction - Page 292
An older adult client experiences urinary incontinence when laughing or sneezing. For which type of incontinence will the nurse plan care for this client?
Stress Topic 10: Urinary Elimination and Reproduction - Page 293
A 75-year-old client has presented to the emergency department with recent fatigue, nausea, and vomiting. The client's temperature is 101.8 °F orally and urinalysis indicates proteinuria and slight hematuria. Based on these findings, which condition would the nurse most likely suspect?
Glomerulonephritis Topic 10: Urinary Elimination and Reproduction - Page 297
Which of the following points should a nurse stress in a health education class for older adults about constipation?
If older adults need a medication to promote bowel regularity, a bulk-forming agent is needed daily. Topic 5: Digestion and Nutrition - Page 282
A nurse teaches a health education class for older adults about constipation. Which point should the nurse stress?
If older adults need a medication to promote bowel regularity, a bulk-forming agent is needed daily. Topic 5: Digestion and Nutrition - Page 283
An 88-year-old client asks the nurse how to treat chronic constipation. Which intervention will the nurse recommend for this client?
Increase fluid intake. Topic 5: Digestion and Nutrition - Page 153
The nurse is teaching an 87-year-old client about preventing constipation. Which action would be important to teach this client?
Increase intake of liquids Topic 5: Digestion and Nutrition - Page 275
The nurse is caring for an older adult client who is prone to developing constipation. The client asks; "What can I do to prevent this from happening?" Which recommendation(s) will the nurse make? Select all that apply.
Increase the amount of water you drink each day." "Get exercise each day." "Eat more fruits and vegetables." Topic 5: Digestion and Nutrition - Page 155
An older adult client asks about natural means to promote bowel elimination. What should the nurse encourage the client to incorporate into a daily routine? Select all that apply.
Increased fluid intake Increased fruit intake A variety of vegetables Regular physical activity Topic 5: Digestion and Nutrition - Page 275-276
A client with urinary retention receives intermittent urinary catheterization every 4 to 6 hours. For which concern is the client at risk for developing?
Infection Topic 10: Urinary Elimination and Reproduction - Page 290
An 88-year-old client is prone to chronic constipation and ask the nurse why. The nurse should explain what age-related physiological change?
Slow peristalsis Topic 5: Digestion and Nutrition - Page 155
The older adult client is at risk for injury related to urinary incontinence. Which goal is the priority?
The client is free from falls related to escaped urine. Topic 10: Urinary Elimination and Reproduction - Page 296
A nurse is assessing a 71-year-old client's urinary function. Which finding would the nurse identify as a cause for concern?
The pH of urine sample is 9.0 Topic 10: Urinary Elimination and Reproduction - Page 291
Which action(s) will the nurse teach an older adult client to do to enhance voiding and prevent urinary retention? Select all that apply.
Void in an upright position. Massage the bladder area. Rock back and forth Topic 10: Urinary Elimination and Reproduction - Page 290
The nurse manager notes a reduction in the number of urinary tract infections being diagnosed in older adult clients. Which unit-based protocol likely contributed to this outcome?
cranberry juice with breakfast Topic 10: Urinary Elimination and Reproduction - Page 292
