The nurse interviewing an older adult for a nursing history ...

[leo leo]

The nurse interviewing an older adult for a nursing history recognizes that the client is experienc-ing symptomology inconsistent with normal aging of the urinary tract when the client reports: (Select all that apply.)
 
  a. finding it more difficult in the last few months to start voiding.
  b. having two bladder infections in the last 4 years.
  c. getting up once or twice each night to uri-nate.
  d. occasionally experiencing pain when uri-nating.
  e. needing to urinate at least every 2 hours during the day.

Question 2

A nurse is caring for an older adult in a hospital who has an indwelling catheter. The nurse as-sesses the patient based on the knowledge that which of the following are correct indications for an indwelling catheter? (Select all that apply.)
 
  a. To assist with incontinence management
  b. To manage acute urinary retention
  c. To assist in healing of open sacral or peri-neal wounds in incontinent patients
  d. To accurately measure urinary output in critically ill patients
  e. To prevent falls related to toileting in hos-pitalized older patients

[SeanoH09]

Answer to Question 1

ANS: A, D
Difficulty and pain are not characteristics of urination normally attributed to aging. In about 10-20 of well older adults, aging of the urinary tract is associated with an increased frequency of involuntary bladder contractions. These changes may lead to frequency, nocturia, urgency, and vulnerability to infection.

Answer to Question 2

ANS: B, C, D
Indwelling urinary catheters are appropriate in the management of acute urinary retention, to as-sist in the healing of open sacral or perineal wounds in incontinent patients, and when accurate measurement of urinary output is essential in managing a critically ill patient. Urinary catheters are not an appropriate intervention for the management of incontinence and do not prevent falls related to toileting in hospitalized patients.

[leo leo]

TY

[SeanoH09]

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