Which of the following clients presents with an increased risk ...

[Mollykgkg]

Which of the following clients presents with an increased risk for urinary incontinence? (Select all that apply.)
 
  1. The 74-year-old diagnosed with parkinsonism 5 years ago
  2. The 25-year-old with Crohn's disease diagnosed 4 years ago
  3. The 62-year-old Alzheimer's disease client diagnosed 8 years ago
  4. The 34-year-old mother of two diagnosed with multiple sclerosis 8 years ago
  5. The 73-year-old diagnosed with benign prostatic hyperplasia (BPH) 6 years ago
  6. The 69-year-old client diagnosed with type 2 diabetes 9 years ago

Question 2

The nurse is caring for a client with type 1 diabetes who has been diagnosed with end-stage renal disease (ESRD). The nurse regularly assesses the client for which of the following? (Select all that apply.)
 
  1. Nausea
  2. Polyuria
  3. Lethargy
  4. Vomiting
  5. Confusion
  6. Headache

[ebe]

Answer to Question 1

ANS: 1, 3, 4, 5, 6
Many diseases and conditions affect the ability to micturate. Diabetes mellitus and multiple scle-rosis cause changes in nerve functions that can lead to possible loss of bladder tone, reduced sensation of bladder fullness, or inability to inhibit bladder contractions. Older men often suffer from BPH, which makes them prone to urinary retention and incontinence. Some clients with cognitive impairments, such as Alzheimer's disease, lose the ability to sense a full bladder or are unable to recall the procedure for voiding. Diseases that slow or hinder physical activity interfere with the ability to void. Degenerative joint disease and parkinsonism are examples of conditions that make it difficult to reach and use toilet facilities. Crohn's disease is gastrointestinal in nature and does not directly affect micturition.

Answer to Question 2

ANS: 1, 3, 4, 5, 6
Diseases that cause irreversible damage to kidney tissue result in end-stage renal disease (ESRD). Eventually the client has symptoms resulting from uremic syndrome. An increase in nitrogenous wastes in the blood, marked fluid and electrolyte abnormalities, oliguria, nausea, vomiting, headache, drowsiness, coma, and convulsions characterize this syndrome.

[Mollykgkg]

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