Some things that you, as the nurse, might teach your client to help control urinary incontinence include which of the following (Select all that apply)?
Recommending an indwelling urinary catheter
Prompted voiding
Scheduled voiding
Pelvic floor muscle exercises
None of the above
Correct Answer : B,C,D
Choice A reason: Recommending an indwelling urinary catheter is not a good option, as it can increase the risk of urinary tract infections, bladder spasms, and catheter-associated complications.
Choice B reason: Prompted voiding is a technique that involves reminding or prompting the client to void at regular intervals, usually every two to four hours. It can help reduce the frequency and severity of urinary incontinence episodes.
Choice C reason: Scheduled voiding is a technique that involves setting a fixed schedule for the client to void, regardless of their urge or need. It can help prevent bladder overdistension and leakage.
Choice D reason: Pelvic floor muscle exercises, also known as Kegel exercises, are exercises that involve contracting and relaxing the muscles that support the bladder, urethra, and other pelvic organs. They can help strengthen the pelvic floor muscles and improve bladder control.
Choice E reason: None of the above is not a correct answer, as there are three choices that are appropriate for helping the client with urinary incontinence.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: ASA (aspirin) is not the best choice, as it can cause bleeding, ulcers, and allergic reactions in some older adults. ASA is also metabolized by the liver, which may be affected by chronic kidney disease.
Choice B reason: Meperidine (Demerol) is not the best choice, as it is a narcotic analgesic that can cause respiratory depression, sedation, and dependence in older adults. Meperidine is also excreted by the kidneys, which may be impaired by chronic kidney disease.
Choice C reason: Ibuprofen (Advil, Motrin) is not the best choice, as it is a nonsteroidal anti-inflammatory drug (NSAID) that can cause kidney damage, fluid retention, and hypertension in older adults. Ibuprofen is also contraindicated in patients with chronic kidney disease.
Choice D reason: Acetaminophen (Tylenol) is the best choice, as it is a mild analgesic that can relieve pain without causing significant side effects in older adults. Acetaminophen is also safe to use in patients with chronic kidney disease, as long as the dose is adjusted according to the liver function.
Choice E reason: None of the above is not the correct answer, as there is one choice that is the best choice for treating mild back pain in an older adult who has chronic kidney disease.
Correct Answer is A
Explanation
Choice A reason: A shortened warning time between the desire to void and actual micturition is a common sign of urinary incontinence in older adults. It is caused by the decreased bladder capacity, increased bladder irritability, and reduced urethral resistance that occur with aging.
Choice B reason: The first urge to void occurs at the midbladder volume (250-350 mL) is not a correct answer, as this is the normal bladder sensation for adults of all ages. It does not indicate urinary incontinence.
Choice C reason: Diarrhea is the most common gastrointestinal complaint made to the health care provider is not a correct answer, as it is not related to urinary incontinence. It is a separate condition that affects the bowel movements.
Choice D reason: Constipation as a symptom of altered bladder functions is not a correct answer, as it is not a direct cause or effect of urinary incontinence. However, constipation can worsen urinary incontinence by increasing the pressure on the bladder and pelvic floor muscles.
Choice E reason: None of the above is not a correct answer, as there is one choice that is true for urinary incontinence in older adults.
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