Your second older adult female client has been experiencing some problems with urinary incontinence. You suggest that she document which of the following in a “bladder/voiding diary”? (Select all that apply.)

Difficulty starting or stopping the urinary stream

The character of the urine

Ability to reach a toilet and use it

Whether she had a bowel movement at the same time

The amount and timing of fluid intake and urine output

Answer and Explanation

Correct Answer : A,B,C,E

Choice A reason:

It is important for the client to document any difficulty starting or stopping the urinary stream as this can indicate potential issues with bladder function or muscle control.

Choice B reason:

Documenting the character of the urine, such as color and odor, can provide valuable insights into potential underlying health issues, such as dehydration or urinary tract infections.

Choice C reason:

The ability to reach a toilet and use it is crucial information as it helps in understanding the client's mobility and accessibility to restroom facilities, which can impact her urinary patterns.

Choice D reason:

Although not listed, it's essential to note that having a bowel movement at the same time can also provide insights into potential underlying issues and patterns related to urinary incontinence.

Choice E reason:

The amount and timing of fluid intake and urine output are imperative to track as they can reveal patterns and potential triggers for urinary incontinence, aiding in the development of an effective management plan.

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Correct Answer is ["A","B","D","E"]

Explanation

Choice A: Pressure ulcers - Physical restraints can lead to immobility, which increases the risk of pressure ulcers due to prolonged pressure on the skin.

Choice B: Death - Restraints can cause fatal accidents. For example, a person might try to remove the restraint, fall, and suffer a fatal injury.

Choice C: Sepsis - While sepsis is a severe condition often caused by an infection, it's not a direct result of physical restraints. However, if a pressure ulcer (caused by restraints) becomes severely infected, it could potentially lead to sepsis.

Choice D: Decreased circulation/perfusion to the extremities - Restraints can restrict movement, leading to decreased blood flow to the extremities.

Choice E: Fractures - Struggling against restraints can lead to falls and subsequent fractures.

A. These drugs are used in combination with analgesics to increase the effect of the analgesics. B. Adjuvant medications are prescribed because they seldom cause any significant side effects. C. These medications are used instead of opioids to decrease the likelihood of addiction. D. These types of medications are used to eliminate the side effects of opioid medications.

Correct Answer is A

Explanation

Choice A reason: This statement is correct, as adjuvant medications are drugs that are not primarily intended for pain relief, but can enhance the analgesic effect of other pain medications. Examples of adjuvant medications are antidepressants, anticonvulsants, or corticosteroids.

Choice B reason: This statement is false, as adjuvant medications can have significant side effects, depending on the type and dose of the drug. Some common side effects are drowsiness, nausea, dry mouth, or weight gain.

Choice C reason: This statement is misleading, as adjuvant medications are not used instead of opioids, but rather as an adjunct to opioids or other analgesics. Adjuvant medications can help reduce the dose of opioids needed to achieve pain relief, but they do not replace them entirely.

Choice D reason: This statement is inaccurate, as adjuvant medications are not used to eliminate the side effects of opioid medications, but rather to treat the underlying cause or mechanism of pain. Adjuvant medications can target different types of pain, such as neuropathic, inflammatory, or visceral pain.

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Your second older adult female client has been experiencing some problems with urinary incontinence. You suggest that she document which of the following in a “bladder/voiding diary”? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older adult client has been admitted to a skilled nursing facility. Which of the following can be caused by physical restraints? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

When educating a client on the use of an adjuvant medication, which statement best demonstrates the nurse’s understanding of this therapy?

Correct Answer is A

Explanation

A nurse is providing an educational session on vaccines to a group of older adults. The nurse is discussing the zoster vaccine Shingrix. Which of the following information should the nurse include in the education?

The nurse assists an older adult man who is diagnosed with type 2 diabetes mellitus to improve his glucose control. Which of the following instructions does the nurse give to this individual when he plans to walk more than usual in one day?

An older adult who is on bed rest after surgery is prescribed morphine for pain. Which of the following is the nurse’s priority for preventive care?

Which of the following is the most important goal in the nursing plan of care to decrease the frequency of hospitalizations for acute exacerbations of heart failure (HF) in older adults?

Your second older adult female client has been experiencing some problems with urinary incontinence. You suggest that she document which of the following in a “bladder/voiding diary”? (Select all that apply.)

The nurse is assessing an elder client for hydration. What is the best determination of hydration in this client?

Which of the following is a true statement about skin care for older adults?