Author Question: The nurse is discussing urinary elimination alterations with a group of middle-age adults. The nurse ... (Read 39 times)

storky111 · **on:** Jul 23, 2018

The nurse is discussing urinary elimination alterations with a group of middle-age adults. The nurse appropriately shares with the group that whereas men experience urinary frequency as a re-sult of prostate enlargement, the female:

1. Is more affected if she has experienced multiple pregnancies
2. Does not usually experience urinary problems until much later in life
3. Experiences an increased risk for urinary tract infections related to menopause
4. Appears to have less risk for kidney infections because of gradually declining es-trogen levels

Question 2

The nurse is caring for a 19-year-old male client with a fractured left femur whose leg was pinned 36 hours ago and is now in traction. Which of the following stressors is mostly likely the cause of this client's difficulty related to starting urine flow?

1. Pain related to the fracture and its repair
2. Anxiety regarding the serious nature of the injury
3. The inability to stand in order to facilitate urination
4. Poor fluid intake in the accident and ensuing surgery

macmac · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 3
Aging often impairs micturition. In the male, prostate enlargement usually begins during the 40s and continues throughout life, resulting in urinary frequency and possible urinary retention. In women, changes in the urethral mucosa associated with loss of estrogen during and after meno-pause contribute to increased susceptibility to UTIs. Although pregnancies may affect urinary continence, decreased estrogen levels do not protect against kidney infections.

Answer to Question 2

ANS: 3
Some men who cannot stand to urinate become overly distressed. Although the other options may have some effect, the primary cause is most likely the emotional stress of not being able to assume the usual position for male urination.