Which statement, if made by an older client diagnosed with urinary incontinence, indicates a need for further teaching?
“I will take my water pill in the morning so I don’t have to go to the bathroom so much at night.”.
“I will limit how much I drink to reduce my chance of having an accident.”.
“I plan to use the commode next to my bed instead of trying to make it to the bathroom.”.
“I want to use the commode in my room instead of wearing adult briefs.”.
The Correct Answer is B
Limiting fluid intake can lead to dehydration and concentrated urine, which can irritate the bladder and increase the risk of infection. Older adults should drink about 2 liters of fluid per day unless they have a medical condition that requires fluid restriction.
Choice A is correct because taking diuretics in the morning can reduce nocturia and improve sleep quality.
Choice C is correct because using a commode next to the bed can prevent falls and injuries that may occur when trying to reach the bathroom in a hurry.
Choice D is correct because using a commode in the room can preserve dignity and comfort, and reduce skin breakdown and odor that may result from wearing adult briefs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Gently pull the auricle up and back before instilling the drops. This technique straightens the auditory canal and allows the drops to reach the eardrum.
It also prevents contamination of the ear canal by the finger.
Choice A is wrong because pulling the auditory canal down and toward the front is the proper method for children, not adults.
This technique is used for children because their auditory canal is shorter and more curved than adults.
Choice C is wrong because lowering the head and taking a deep breath during the instillation has no effect on the administration of otic drops.
It may also cause discomfort or dizziness for the client.
Choice D is wrong because wearing sterile gloves and inserting one finger in the canal is unnecessary and potentially harmful.
It may introduce bacteria or damage the ear canal or eardrum.
Correct Answer is C
Explanation
Orient the client to the arrangement of the room to promote independence. This strategy helps the client who is blind to navigate the environment safely and confidently. It also shows respect for the client’s autonomy and dignity.
Choice A is wrong because speaking loudly is not necessary for a client who is blind, unless they also have hearing impairment. Speaking loudly may imply that the client is less intelligent or capable, which is not true.
Choice B is wrong because touching the client prior to speaking may startle or frighten them. It is better to identify oneself verbally and ask for permission before touching the client.
Choice D is wrong because keeping the bed in the highest position may increase the risk of injury if the client tries to get out of bed alone. It also restricts the client’s mobility and independence, which may affect their self-esteem and quality of life.
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