A 68-year-old female patient is experiencing episodes of urinary ...

[cagreen833]

A 68-year-old female patient is experiencing episodes of urinary incontinence. What should this indicate to the nurse?
 
  1. an abnormal finding requiring further testing
  2. the presence of a urinary infection
  3. a normal outcome of the aging process
  4. the result of having several children

Question 2

A patient being treated for peritonitis from a ruptured appendix is concerned about developing a kidney infection. How should the nurse respond to this patient?
 
  1. Your kidneys are located outside the peritoneum, the sack that encloses the appendix.
  2. Good thinking. Infections in the abdomen can spread to other organs.
  3. You need to speak with your primary healthcare provider about your concern.
  4. We can check your urine daily to make sure the infection is not spreading.

[Chou]

Answer to Question 1

Correct Answer: 1
Incontinence is not a normal finding and will require further investigation to identify the cause. Episodes of urinary incontinence do not indicate the presence of a urinary infection. Although frequency and urgency can be symptoms of a urinary tract infection, a culture is necessary in order to determine infection. While some stress incontinence may occur in multiparous women, incontinence is not normal and is it not necessarily the result of having had several children.

Answer to Question 2

Correct Answer: 1
The two kidneys are located outside the peritoneal cavity and on either side of the vertebral column at the levels of T12 through L3. Though infections can spread, this is not the best choice as it does not address the patient's concern and may unduly alarm the patient. There is no indication that the patient should speak with the primary healthcare provider at the current time. There is no indication for daily urinalysis.

[cagreen833]

Excellent

[ricroger]

TYSM