You realize that your client's bladder functions are only slightly altered by the physiological changes of age. What might you expect if an older person is experiencing urinary incontinence?

A shortened warning time between the desire to void and actual micturition

The first urge to void occurs at the midbladder volume (250-350 mL)

Diarrhea is the most common gastrointestinal complaint made to the health care provider

Constipation as a symptom of altered bladder functions

None of the above

Answer and Explanation

The Correct Answer is A

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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Correct Answer is C

Explanation

Choice A reason: Drinking large amounts of alcohol can relieve symptoms of essential tremor is false because essential tremor is a different neurological disorder from PD, and alcohol can worsen PD symptoms or interact with medications.

Choice B reason: Motor tremors and slow movement accompany severe cognitive impairment is false because not all people with PD develop cognitive impairment, and the severity of motor and cognitive symptoms may not correlate.

Choice C reason: It is advised to take levodopa-carbidopa on an empty stomach is true because food, especially protein, can interfere with the absorption of levodopa-carbidopa, which is the main medication for PD.

Choice D reason: Lewy body dementia (LBD) is the most common form of dementia is false because Alzheimer's disease is the most common form of dementia, and LBD is a related but distinct condition that can affect some people with PD.

A. Crushing chest pain B. Epigastric burning C. Dyspnea and fatigue D. Vague complaints E. None of the above

Correct Answer is A

Explanation

Choice A reason: Crushing chest pain is the classic sign of an AMI, but it can be absent in some older men with an AMI. This is because older men may have a reduced pain perception due to aging, diabetes, or other conditions that affect the nerve endings. Older men may also have atypical or silent AMIs, which do not cause chest pain or other obvious symptoms.

Choice B reason: Epigastric burning is not a classic sign of an AMI, but it can be a symptom of an AMI in some older men. Epigastric burning may be mistaken for indigestion, heartburn, or gastritis, but it can also indicate ischemia or injury to the lower part of the heart.

Choice C reason: Dyspnea and fatigue are not classic signs of an AMI, but they can be symptoms of an AMI in some older men. Dyspnea and fatigue may be attributed to aging, deconditioning, or other chronic diseases, but they can also indicate reduced oxygen supply to the heart and the body.

Choice D reason: Vague complaints are not classic signs of an AMI, but they can be symptoms of an AMI in some older men. Vague complaints may include anxiety, restlessness, nausea, dizziness, or weakness, which may be overlooked or dismissed as minor ailments, but they can also indicate a serious cardiac event.

Choice E reason: None of the above is not the correct answer, as there is one choice that is the classic sign of an AMI that can be absent in an older man with an AMI.

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You realize that your client's bladder functions are only slightly altered by the physiological changes of age. What might you expect if an older person is experiencing urinary incontinence?

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You realize that your client's bladder functions are only slightly altered by the physiological changes of age. What might you expect if an older person is experiencing urinary incontinence?