Author Question: To effectively care for the clinical complexities of older adults, nurses need preparation in the ... (Read 29 times)

Shelles · **on:** Jul 11, 2018

To effectively care for the clinical complexities of older adults, nurses need preparation in the unique principles and best practices of geriatric care. On what are the best practices built?

A) The ANA Standards of the Gerontological Nurse and the Principles of Gerontological Nursing Practice
B) Evidence-based practice and the expertise of the nurse
C) Scientific data regarding theories, life adjustments, and pathophysiology of aging
D) A large pool of knowledgeable colleagues and advanced practice

Question 2

The client has new onset of benign prostatic hyperplasia (BPH) with related urinary symptoms. What factor most likely underlies the client's urinary symptoms?

A) Loss of bladder elasticity
B) Compression of the urethra
C) History of use of diuretics
D) Excessive use of urinary antiseptics

reelove4eva · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

B
Feedback:
The best practices of geriatric care are built on the nurse's broad knowledge base and ability to use sound, existing research in solving complex clinical problems.

Answer to Question 2

B
Feedback:
Urinary symptoms begin as a result of compression of the urethra and obstruction of the vesicle neck, and these result in a hypertrophy of the detrusor muscle and obstruction of the outlet. As the hyperplasia progresses, the bladder wall loses its elasticity and becomes thinner, leading to urinary retention and an increased risk of urinary infection. The urinary symptoms of BPH are related to these anatomical changes, not medications.