An elderly resident of a long-term care facility frequently wakes up to urinate during the night. What physiological change associated with normal aging could be the cause of this?
Reduced kidney ability to concentrate urine.
Lower fluid intake during daytime hours.
Enhanced bladder contractility leading to urinary stasis.
Increased bladder muscle tone leading to frequent urination.
The Correct Answer is A
Choice A rationale:
Reduced kidney ability to concentrate urine is a common physiological change associated with normal aging. This is due to several factors, including:
Decreased glomerular filtration rate (GFR): The kidneys filter waste products from the blood. As we age, the number of functioning nephrons (filtering units) in the kidneys decreases, leading to a decline in GFR. This means that the kidneys are less able to filter waste products and concentrate urine.
Decreased renal blood flow: Blood flow to the kidneys also decreases with age. This further reduces the kidneys' ability to filter waste products and concentrate urine.
Decreased tubular function: The tubules in the kidneys are responsible for reabsorbing water and electrolytes from the urine. As we age, the function of the tubules also declines, leading to a decrease in the ability to concentrate urine.
As a result of these changes, older adults often produce more urine, even at night. This can lead to nocturia, which is the need to wake up to urinate two or more times per night.
Choice B rationale:
Lower fluid intake during daytime hours can also contribute to nocturia, but it is not a direct physiological change associated with normal aging. Older adults may drink less fluids during the day for a variety of reasons, such as decreased thirst sensation, fear of incontinence, or limited access to fluids. However, even if they maintain adequate fluid intake during the day, they may still experience nocturia due to the reduced ability of their kidneys to concentrate urine.
Choice C rationale:
Enhanced bladder contractility leading to urinary stasis is not a typical physiological change associated with normal aging. In fact, bladder contractility often decreases with age, which can lead to difficulty emptying the bladder completely. This can contribute to urinary frequency and urgency, but it is not typically a cause of nocturia.
Choice D rationale:
Increased bladder muscle tone leading to frequent urination is also not a typical physiological change associated with normal aging. Bladder muscle tone may decrease with age, which can lead to difficulty emptying the bladder completely. However, it is not typically a cause of nocturia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
The physical dimension addresses the body's biological and physiological systems, such as organs, tissues, and cells. It does not directly relate to seeking support from others.
While the mother's actions may indirectly impact her child's physical health by reducing stress and potentially improving asthma management, the primary focus of her behavior is social connection and support, not physical interventions.
Choice B rationale:
The intellectual and spiritual dimension encompasses a person's thoughts, beliefs, values, and sense of purpose. While seeking support can involve sharing thoughts and beliefs, the mother's primary motivation is likely to connect with others who share similar experiences, rather than to explore intellectual or spiritual aspects of asthma.
Choice C rationale:
The socio-cultural dimension involves the social and cultural factors that influence a person's health and well-being. This includes:
Relationships with family, friends, and community
Cultural beliefs and practices
Social norms and expectations
Access to resources and support systems
The mother's desire to connect with other parents of children with asthma clearly demonstrates the influence of social relationships and shared experiences on her coping and support-seeking behavior.
This aligns with the concept of social support, which has been shown to have significant benefits for both physical and mental health.
Choice D rationale:
The environmental dimension refers to the physical and social surroundings that affect a person's health. While the environment can play a role in asthma management (e.g., exposure to allergens), it is not the primary focus of the mother's actions in seeking support from other parents.
Correct Answer is A
Explanation
Choice A rationale:
The physical dimension encompasses the tangible, biological aspects of an individual, including age, race, gender, genetic inheritance, anatomy, and physiological processes.
Here's a detailed breakdown of how each of these factors aligns with the physical dimension in the context of the patient's hypertension:
Age:
Hypertension is more prevalent in older adults due to natural changes in the cardiovascular system, such as stiffening of arteries and decreased elasticity.
The patient's age of 68 years places him within this higher-risk category.
Race:
African Americans have a disproportionately higher risk of hypertension and related complications compared to other racial groups.
This disparity is attributed to a complex interplay of genetic, environmental, and socioeconomic factors. Gender:
While both men and women experience hypertension, men tend to develop it earlier in life and have a higher lifetime risk.
This difference is partially due to hormonal influences and lifestyle factors.
Genetic inheritance:
Hypertension often has a significant genetic component.
Individuals with a family history of hypertension are more likely to develop the condition themselves, suggesting a role of inherited genes in blood pressure regulation.
Choice B rationale:
The emotional dimension focuses on psychological and mental aspects, including feelings, thoughts, behaviors, and coping mechanisms.
While emotions can certainly influence blood pressure and overall health, they are not directly categorized under the physical dimension in this context.
Choice C rationale:
The environmental dimension addresses external factors that impact health, such as access to healthcare, social support, exposure to pollutants, and community resources.
While these factors can indirectly contribute to hypertension risk, they are not inherent physical characteristics of the individual.
Choice D rationale:
The holistic dimension encompasses a comprehensive view of health, integrating physical, emotional, spiritual, social, and environmental aspects.
While holistic care is essential for managing hypertension, the question specifically asks about the dimension that age, race, gender, and genetic inheritance exemplify, which is most accurately aligned with the physical dimension.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
