A large residual urine volume characterizes what type of incontinence?
Overflow
Urge
Stress
Functional
The Correct Answer is A
Choice A reason: Overflow incontinence is a type of urinary incontinence that occurs when the bladder becomes overfilled and cannot empty completely. This causes urine to leak out of the bladder, even when the person does not feel the urge to urinate. A large residual urine volume is a common sign of overflow incontinence, as it indicates that the bladder is not emptying properly.
Choice B reason: Urge incontinence is a type of urinary incontinence that occurs when the bladder contracts involuntarily and causes a sudden and strong urge to urinate. This can result in urine leakage before the person can reach the toilet. A large residual urine volume is not a typical feature of urge incontinence, as the bladder tends to empty frequently and urgently.
Choice C reason: Stress incontinence is a type of urinary incontinence that occurs when the pelvic floor muscles that support the bladder are weakened or damaged. This causes urine to leak out of the bladder when the person coughs, sneezes, laughs, or exerts pressure on the abdomen. A large residual urine volume is not a common symptom of stress incontinence, as the bladder does not overfill or contract involuntarily.
Choice D reason: Functional incontinence is a type of urinary incontinence that occurs when the person has normal bladder function but cannot reach the toilet in time due to physical or mental impairments. This can be caused by mobility problems, cognitive decline, dementia, or environmental barriers. A large residual urine volume is not a characteristic of functional incontinence, as the bladder can empty normally when the person has access to the toilet.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Improper assistive device use contributes to older adult falls is a true statement, as it is supported by evidence from web search results. According to the Age Space guide to assistive technology for the elderly, "it is important to ensure that the device is used correctly and safely, as improper use can increase the risk of falls and injuries." Similarly, according to the AAFP article on mobility assistive device use in older adults, "improper use of assistive devices can lead to falls, injuries, and decreased mobility."
Choice B reason: Older adults save money by adopting assistive devices from their friends is not a true statement, as it is not recommended by experts. According to the AAFP article on mobility assistive device use in older adults, "borrowing devices from friends or family members is not advised because devices may not be properly fitted or maintained, and may not meet the patient's needs."
Choice C reason: A walker can be used when climbing stairs is not a true statement, as it is not safe or feasible. According to the NICHD article on types of assistive devices and their use, "walkers are not designed for use on stairs or escalators."
Choice D reason: Cane tips should be smooth is not a true statement, as it is contrary to the best practice. According to the AAFP article on mobility assistive device use in older adults, "cane tips should have a nonskid surface to prevent slipping."
Choice E reason: None of the above is not the correct answer, as there is one choice that is a true statement about assistive devices to aid older adults with impaired mobility.
Correct Answer is A
Explanation
Choice A reason: The classic signs of elevated glucose levels, polyuria, polyphagia, and polydipsia are rarely present in older adults is true because older adults may have impaired thirst sensation, reduced appetite, or altered renal function that can mask these symptoms. They may also have other chronic conditions or medications that can affect their glucose levels or urine output.
Choice B reason: Older adults tend to metabolize glucose at a faster rate than younger adults is false because older adults usually have a slower metabolism and a reduced insulin sensitivity that can impair their glucose regulation. They may also have less muscle mass and more fat tissue that can affect their glucose utilization.
Choice C reason: Fingerstick glucose monitoring is inaccurate in older adults is false because fingerstick glucose monitoring is a reliable and convenient method to measure blood glucose levels in older adults, as long as they follow the proper technique and calibration. They may also benefit from using devices that have larger displays, voice output, or memory functions.
Choice D reason: There is a higher tolerance for elevated levels of circulating glucose in older adults is false because elevated levels of circulating glucose can cause serious complications in older adults, such as cardiovascular disease, kidney disease, nerve damage, or infections. Older adults may have a higher risk of developing these complications due to their age, comorbidities, or frailty.
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