The nurse is conducting education regarding urinary health at an ...

[LCritchfi]

The nurse is conducting education regarding urinary health at an assisted living facility. When planning topics to include in the session, which are appropriate to the nurse to consider?
 
  Select all that apply.
  A) Full urinary control usually occurs at 4 or 5 years of age.
  B) Because of neuromuscular immaturity, voluntary urinary control is absent.
  C) The kidneys reach maximum size between 35 and 40 years of age.
  D) Renal blood flow decreases because of vascular changes and a decrease in cardiac output.
  E) Urinary incontinence may occur because of mobility problems or neurological impairments.

Question 2

A client presents at the emergency department reporting a burning pain in the chest of a 7 on a 0 to 10 pain scale. Gastroesphogeal reflux disorder (GERD) secondary to hiatal hernia is diagnosed. Based on this data, which is the priority nursing diagnosis
 
  A) Dysfunctional Gastrointestinal Motility
  B) Anxiety
  C) Acute Pain
  D) Ineffective Health Maintenance

[izzat]

Answer to Question 1

Answer: D, E

When planning an education session regarding urinary health at an assisted living facility, the nurse would include information that affects the urinary health of the older adult client. Information that is appropriate for the nurse to consider is the decrease in renal blood flow due to vascular changes and that urinary incontinence may occur because of issues with mobility and neurological impairment. While all of the other statements are true regarding urinary health, they are not appropriate for this presentation to older adult clients.

Answer to Question 2

Answer: C

Acute pain management is the priority of nursing care. Anxiety may be decreased by relieving pain. Dysfunctional gastrointestinal motility and ineffective health maintenance are less urgent.