The nurse interviewing an older adult for a nursing history recognizes that the client is experienc-ing symptomology inconsistent with normal aging of the urinary tract when the client reports: (Select all that apply.)
a. finding it more difficult in the last few months to start voiding.
b. having two bladder infections in the last 4 years.
c. getting up once or twice each night to uri-nate.
d. occasionally experiencing pain when uri-nating.
e. needing to urinate at least every 2 hours during the day.
Question 2A nurse is caring for an older adult in a hospital who has an indwelling catheter. The nurse as-sesses the patient based on the knowledge that which of the following are correct indications for an indwelling catheter? (Select all that apply.)
a. To assist with incontinence management
b. To manage acute urinary retention
c. To assist in healing of open sacral or peri-neal wounds in incontinent patients
d. To accurately measure urinary output in critically ill patients
e. To prevent falls related to toileting in hos-pitalized older patients
Question 3An otherwise healthy older adult reports having begun to experience problems holding my wa-ter. The nurse shows an understanding of interventions that may help minimize the problem of urinary incontinency when: (Select all that apply.)
a. asking whether the client smokes tobacco.
b. assessing the average amount of caffeine the client drinks daily.
c. asking if the client has been evaluated for diabetes recently.
d. suggesting the client keep a record of the amount of fluids ingested daily.
e. reviewing the client's current medication list.
Question 4A 78-year-old patient has a history of osteoarthritis and lives alone in a two-story home. The bathroom is on the first level and the bedroom is on the second level. The patient states, I am so upset.
I have been wetting the bed at night. What type of incontinence does the patient most likely have?
a. Mixed incontinence
b. Stress incontinence
c. Urge incontinence
d. Functional incontinence
Question 5A nurse implements a nursing care plan for a patient with constipation. Which of the following should the nurse include in the plan?
a. Increasing fiber in the diet
b. Administering aluminum hydroxide ant-acids
c. Bed rest
d. Restricting fluids
Question 6Which of the following nursing actions would help minimize the psychosocial impact of bladder and/or bowel incontinence for individuals experiencing incontinence prior to going to a group dining room?
a. Assess for soiled clothing and change, if necessary.
b. Toilet the client and then promptly transport to the dining room.
c. Provide peri-care and fresh underclothing.
d. Ask the client if toileting is needed and assist as necessary.
Question 7A patient tells the nurse, Every time I laugh or cough, I wet myself. Which type of urinary in-continence is this patient describing?
a. Urge
b. Functional
c. Stress
d. Mixed
Question 8Which of the following nursing interventions should be implemented to prevent dehydration in hospitalized older adults? (Select all that apply.)
a. Implementing intake and output recording for any patients with fever, diarrhea, vom-iting, or an infection
b. Limiting duration of NPO requirements for diagnostic tests and procedures
c. Administering IV fluids to all hospitalized older adults
d. Limiting the use of diuretic medications in hospitalized older adults
e. Making sure that hospitalized patients have easy access to fluids
Question 9A nurse is caring for an older adult who has a gastrostomy tube. The nurse is developing a care plan related to oral care. Which of the following should the nurse consider for this patient? (Se-lect all that apply.)
a. Oral care should be provided every four hours.
b. Teeth should be brushed with a toothbrush after each tube-feeding.
c. Lemon glycerin swabs should be used in between feedings to keep the mouth moist.
d. Foam swabs should be used in place of a toothbrush to clean the teeth after each tube-feeding.
e. Oral care should be provided only twice daily if the older adult is edentulous.
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