Decreased renal mass and reduced glomerular filtration make it ...

[tsand2]

Decreased renal mass and reduced glomerular filtration make it especially important that nurses:
 
  A) Assist elderly patients with frequent toileting
  B) Ensure that age-adjusted drug dosages are prescribed
  C) Look for signs of urinary tract infections
  D) Frequently check urine for glucose

Question 2

A patient had a ruptured diverticulum in his descending colon. He has undergone a transverse loop colostomy. He asks the nurse the purpose of this procedure, and the nurse tells him that it is
 
  a. a temporary colostomy to allow healing of the bowel by diverting feces.
  b. to allow for more thorough irrigations.
  c. to provide two stomas for fecal elimination.
  d. to prevent chronic constipation.

[ambernicolefink]

Answer to Question 1

B
Feedback:
The need for frequent toileting is a result of decreased bladder capacity. Weaker bladder muscles increase the risk of urinary tract infections. Tests for glucose in the urine are needed on a case-by-case basis. The need most associated with decreased renal mass and reduced glomerular filtration is age-adjusted drug dosage.

Answer to Question 2

A
The second procedure is the double-barrel colostomy, where the bowel is brought up through the abdominal surface, or loop colostomy.

[tsand2]

TYSM

[mohan]

Excellent