What should be included in a plan of care for an older adult with diarrhea? (Select all that apply.)
a. Perineal care immediately after the diarrhea episode
b. Application of lotion to the buttocks
c. Maintenance of dry linens
d. Patting the anal area dry rather than wiping
e. Leaving excoriated areas open to the air
Question 2What conditions could result in constipation related to pain? (Select all that apply.)
a. Hemorrhoids
b. Anal fissures
c. Reduction of bowel mucus
d. Diminished abdominal muscle tone
e. Slowed peristalsis
Question 3An alert, independent, 89-year-old male resident with congestive heart failure has been on Lasix for a week. Over the past 2 days he has been frequently incontinent and does not make it to the bathroom in time.
He tells the nurse that he is having spasms in his lower abdomen. What diagnosis would best apply to this resident?
a. Impaired urinary elimination
b. Functional urinary incontinence
c. Stress urinary incontinence
d. Urge urinary incontinence
Question 4What age-related changes are related to constipation? (Select all that apply.)
a. Diminished abdominal muscle tone
b. Reduced activity level
c. Inadequate fluid intake
d. Increased dietary fiber
e. Dependence on laxatives
Question 5How do Kegel exercises aid in the treatment of incontinence?
a. Increases the tone of the bladder
b. Reduces urinary retention
c. Strengthens the urinary sphincter
d. Sensitizes biofeedback
Question 6What does the nurse expect will occur in a patient as a result of decreased fluid intake? (Select all that apply.)
a. Fluid will be withdrawn from the stool
b. The stool becomes hard and dry
c. Less mucus is formed in the colon
d. Lumen of bowel constricts because of smaller bulk
e. Peristalsis slows
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