Answer to Question 1
ANS: 4
Pelvic floor exercises, also known as Kegel exercises, improve the strength of pelvic floor mus-cles and consist of repetitive contractions of muscle groups. These exercises have demonstrated effectiveness in treating stress incontinence, overactive bladders, and mixed causes of urinary continence. The client is oriented and therefore could be taught Kegel exercises to improve pelvic floor muscle tone. Applying adult diapers does not improve the client's problem of incontinence and places the client at risk for skin breakdown. Because bladder catheterization carries the risk for urinary tract infection (UTI), it is preferable to rely on other measures for management of in-continence. The nurse can support the use of Kegel exercises as an inexpensive nonpharmacolog-ical intervention to reduce the client's stress incontinence. Bethanechol (Urecholine) stimulates the parasympathetic nervous system to promote complete bladder emptying and is primarily used to treat urinary retention and possible overflow incontinence. Nonpharmacological approaches should be attempted before pharmacological approaches are taken.
Answer to Question 2
ANS: 1, 2, 3, 5, 6
Symptoms of dehydration in older adults include confusion; weakness; hot, dry skin; furrowed tongue; rapid pulse; and high urinary sodium level.
The tone of the nurse-patient introduction sets the stage for the patient interview and patient care
Application of an ostomy bag or pouch: B, An ostomy nurse applying an ostomy bag to a stoma;
To check pupillary reflexes the nurse first holds the penlight
Procedures and Diagnostic Tests Related to the Female Reproductive System
The nurse begins the general survey
Foundations of Maternal-Newborn Nursing 4th Edition