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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
Choice A reason: Changing facial expression is not a likely action to be observed during the assessment, as PD causes reduced facial expression or mask-like face. The client may have difficulty blinking, smiling, or showing emotions.
Choice B reason: Frequent movement is not a likely action to be observed during the assessment, as PD causes slowed movement or bradykinesia. The client may have difficulty initiating, continuing, or completing movements.
Choice C reason: Resting hand tremors is a likely action to be observed during the assessment, as PD causes rhythmic shaking of the hands, fingers, or other body parts. The tremors usually occur when the affected limb is at rest and may decrease when the client is performing tasks.
Choice D reason: Fast movements is not a likely action to be observed during the assessment, as PD causes impaired movement or dyskinesia. The client may have involuntary, jerky, or twisting movements that are often unpredictable and uncontrollable.
Choice E reason: None of the above is not the correct answer, as there is one choice that is a likely action to be observed during the assessment.
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