Author Question: A 74-year-old woman who is in hospital for rehabilitation following hip replacement has been ... (Read 39 times)

savannahhooper · **on:** Jul 11, 2018

A 74-year-old woman who is in hospital for rehabilitation following hip replacement has been experiencing incontinence since admission.

Which of the following interventions are likely to facilitate the restoration of the patient's bladder function? (Select all that apply.) A) Determine and assess the woman's recent voiding pattern.
B) Request an order for an indwelling catheter from the patient's physician.
C) Teach the patient how to meet hydration needs while still limiting fluid intake.
D) Offer to assist to the commode every 2 hours while awake.
E) Assess the client for contributing factors such as constipation.

Question 2

A care aide at a long-term care facility has assured the family of a resident that their father's increasing forgetfulness is a normal part of the aging process. How can the nurse best respond to the care aide's statement to the family?

A) It's actually a myth that older people experience changes to their memory..
B) Memory losses are a normal age-related change many people experience..
C) Older adults have less working memory and slower retrieval, but this still requires further assessment..
D) There is no reason for healthy older adults to experience changes in their memory unless they are experiencing dementia..

mcarey591 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

A, D, E
Feedback:
Use the bladder log to begin a prompting voiding program. Constipation is another reversible cause for incontinence. Catheter use should be avoided and limiting fluid intake is inappropriate.

Answer to Question 2

C
Feedback:
Older adults often experience delays in retrieval of memories and working memory. Some changes in memory, even in the absence of delirium or dementia, are to be expected but they should not be discounted and would require further assessment.