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 D
Explanation
a) "Have you been having diarrhea?" This is a risk factor or cause of hypokalemia but not a symptom of it. Good to ask, but not the most direct sign.
b) "Have you been experiencing difficulty breathing?" Severe hypokalemia can lead to respiratory muscle weakness, but it is not a common early symptom.
c) "Have you been experiencing chest pain?" Chest pain is not a common symptom of hypokalemia. It could signal cardiac issues, but not specific to low potassium.
d) "Have you been experiencing muscle weakness or leg cramps?" Classic symptoms of hypokalemia due to potassium’s role in muscle contraction and nerve conduction.
Correct Answer is D
Explanation
a) Chloride 100 mEq/L: A chloride level of 100 mEq/L is within the normal range (98-107 mEq/L) and would not be concerning in this context.
b) Sodium 138 mEq/L: A sodium level of 138 mEq/L is within the normal range (135-145 mEq/L) and would not be concerning in this context.
c) Potassium 4.1 mEq/L: A potassium level of 4.1 mEq/L is within the normal range (3.5-5.0 mEq/L) and would not be concerning in this context.
d) Magnesium 1.0 mEq/L: A magnesium level of 1.0 mEq/L is low (normal range: 1.5-2.5 mEq/L), and low magnesium can cause neuromuscular symptoms such as tremors. This would be a concerning result in the context of the patient's hand and face tremors.
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