A nurse is caring for older adult clients in an assisted-living facility. Which effect of aging should the nurse consider when performing a urinary assessment?
Neuromuscular problems may result in the client finding urinary control too much trouble, resulting in incontinence
Increased bladder muscle tone may reduce the capacity of the bladder to hold urine, resulting in frequency
Decreased bladder contractility may lead to urine retention and stasis, which increase the likelihood of urinary tract infection.
The diminished ability of the kidneys to concentrate urine may result in urinary tract infection.
The Correct Answer is A
a) Neuromuscular problems may result in the client finding urinary control too much trouble, resulting in incontinence: Neuromuscular issues in older adults can affect their ability to control the bladder, leading to urinary incontinence due to weakened bladder muscles and impaired coordination of the sphincter.
b) Increased bladder muscle tone may reduce the capacity of the bladder to hold urine, resulting in frequency: Typically, aging results in decreased bladder muscle tone, not increased, leading to reduced capacity and increased frequency of urination. Increased tone would not typically cause frequency.
c) Decreased bladder contractility may lead to urine retention and stasis, which increases the likelihood of urinary tract infection: Aging can lead to decreased bladder contractility, resulting in urine retention, which can cause stasis and increase the risk of urinary tract infections (UTIs).
d) The diminished ability of the kidneys to concentrate urine may result in urinary tract infection: While diminished kidney function may cause issues like dehydration or nocturia, it is not directly related to causing UTIs. UTIs are more commonly caused by poor urine flow or retention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a) Fluid retention: A weight increase of 6 pounds in 1 day is significant and may indicate fluid retention, which is commonly seen in conditions like heart failure or kidney disease.
b) Increased nutritional intake: A 6-pound weight gain is unlikely to be due to nutritional intake alone, especially over just a two-day period. This would more likely be seen over a longer timeframe.
c) Anorexia: Anorexia is associated with weight loss, not weight gain.
d) Weight loss: The patient has gained weight, not lost it.
Correct Answer is A
Explanation
a) Shorter in length: The female urethra is shorter than the male urethra, which makes it easier for bacteria to enter the bladder, increasing the risk of urinary tract infections. This difference is important when performing catheterization.
b) Longer in length: The male urethra is longer than the female urethra.
c) No connection with the bladder: Both the male and female urethras are connected to the bladder.
d) Has different innervation: While there are some differences in the innervation of male and female genital areas, the basic innervation of the urethra is similar for both sexes.
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