An older female adult tells the nurse practitioner that she fears ...

[AEWBW]

An older female adult tells the nurse practitioner that she fears her family will place her in a nursing home because she developed stress incontinence. Which recommendation should the nurse implement?
 
  a. Tell her to eliminate the use of caffeinated beverages.
  b. Coordinate a family conference with the older adult.
  c. Recommend exercises to strengthen the pelvic floor.
  d. Schedule voiding for every 2 hours around the clock.

Question 2

Which of the following is a true statement about dental health in older adults?
 
  a. Most people can expect to lose most of their teeth by old age.
  b. Excessive saliva production is a common problem among older adults.
  c. Dentures should be cleaned once a day by brushing and soaking in a cleaning solu-tion.
  d. A little blood on the toothbrush is normal.

[IAPPLET]

Answer to Question 1

C

Feedback
A Incorrect. Stress incontinence is usually due to weakened pelvic floor muscles, so eliminating caffeinated beverages can be ineffective treatment.
B Incorrect. Arranging a family conference is premature and potentially embar-rassing for the older adult. Many therapies are available to decrease this older adult's incontinence.
C Correct. The nurse practitioner recommends pelvic floor exercises to strengthen the pelvic floor and the muscles that surround the urethra, the vagina, and the rectum to decrease the incidence of stress incontinence.
D Incorrect. Scheduled voiding is recommended at 2- to 4-hour intervals during the day and 4-hour intervals at night.

Answer to Question 2

C
Careful cleaning of dentures is necessary to prevent the buildup of residues that contribute to staining and odor, as well as to infection. Older adults can lose teeth, but more adults are retain-ing their teeth into older age. Tooth loss is most often a result of periodontal disease. Inadequate saliva production (xerostomia) is a common problem for older persons. Bleeding gums is a sign of periodontal disease.

[AEWBW]

TYSM

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Excellent