A nurse is conducting education on urinary incontinence at a senior center. The nurse is discussing lifestyle changes that are associated with an improvement in urinary incontinence. The nurse includes which of the following interventions? (Select all that apply.)
Increase in physical activity
Blood sugar control
Smoking cessation
Weight reduction
Correct Answer : A,C,D
Choice A: Increase in physical activity
Physical activity can strengthen the muscles that help control urination. Exercises such as Kegels can specifically target these muscles, leading to improvements in urinary incontinence.
Choice B: Blood sugar control
While blood sugar control is important for overall health and can prevent complications from diabetes, it is not directly associated with improvements in urinary incontinence.
Choice C: Smoking cessation
Smoking can lead to coughing which puts pressure on the bladder and can exacerbate symptoms of urinary incontinence. Therefore, smoking cessation can lead to improvements.
Choice D: Weight reduction
Excess weight can put pressure on the bladder and surrounding muscles. Losing weight can reduce this pressure and improve symptoms of urinary incontinence.
There is no Choice E in this case. Each of these interventions can contribute to overall health and may indirectly affect urinary incontinence, but Choices A, C, and D are the most directly related to improvements in this condition.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: This statement is false, as type 2 diabetes is not the result of the failure of the pancreas to produce insulin, but rather the result of the reduced sensitivity of the cells to insulin, which leads to high blood sugar levels. The pancreas may still produce some insulin, but not enough to meet the body's needs.
Choice B reason: This statement is false, as the incidence of diabetes mellitus does increase with age, due to various factors, such as decreased physical activity, increased weight, reduced muscle mass, or impaired insulin secretion or action.
Choice C reason: This statement is true, as diabetes is diagnosed after two fasting plasma glucose readings over 125 mg/dL, according to the American Diabetes Association. Fasting plasma glucose is the blood sugar level measured after at least eight hours of fasting.
Choice D reason: This statement is false, as non-insulin-dependent diabetes mellitus is another name for type 2 diabetes, not type 1 diabetes. Type 1 diabetes is also known as insulin-dependent diabetes mellitus, as it requires insulin injections or pumps to control the blood sugar levels.
Correct Answer is B
Explanation
Choice A reason: Measure the blood pressure in sitting and standing positions is not the next action by the nurse, as it is not relevant to the situation. The nurse should compare the blood pressure readings from both arms, not from different postures.
Choice B reason: Measure the blood pressure in the left arm is the next action by the nurse, as it can help determine if the high blood pressure is consistent or isolated to one arm. A difference of more than 10 mm Hg between the arms may indicate a vascular problem, such as atherosclerosis, aneurysm, or coarctation of the aorta.
Choice C reason: Document the findings in the medical record; elevated blood pressures are normal in older adults is not the next action by the nurse, as it is inaccurate and irresponsible. The nurse should not assume that elevated blood pressures are normal in older adults, as they may indicate hypertension, which is a risk factor for cardiovascular disease, stroke, and kidney damage. The nurse should also not document the findings without further assessment and intervention.
Choice D reason: Immediately contact the medical provider is not the next action by the nurse, as it may be premature and unnecessary. The nurse should first confirm the accuracy of the blood pressure readings by measuring the blood pressure in the left arm and checking the calibration of the device. The nurse should also consider other factors that may affect the blood pressure, such as pain, stress, caffeine, or medication.
Choice E reason: None of the above is not the correct answer, as there is one choice that is the next action by the nurse.
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