Author Question: The nurse understands that stress incontinence occurs: a. With a urinary tract infection (UTI) ... (Read 72 times)

Awilson837 · **on:** Jul 11, 2018

The nurse understands that stress incontinence occurs:

a. With a urinary tract infection (UTI)
b. Because of emotional strain
c. As a result of increased intraabdominal pressure
d. With a specific amount of urine in the bladder

Question 2

An older adult who has Alzheimer's disease exhibits new behavior including shouting in the hallways and hallucinations.

Rank the nursing interventions in order, beginning with the first intervention the nurse should implement in response to the new behavior. a. Review the medication list for potential causes.
b. Plan nursing care to promote a trusting relationship.
c. Look for likely causes for psychotic manifestations.
d. Consult with health care provider about medications.

Sophiapenny · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

C
If intraabdominal pressure increases, then the patient can have dribbling. A UTI causes frequency as a result of irritation in the bladder. Emotional strain can cause frequency. Specific volume of urine in the bladder triggers reflex incontinence.

Answer to Question 2

c, a, b, d

a. As a potential cause of the new behaviors, the nurse reviews the medication list and looks for new medications, missed or increased doses, polypharmacy, and medications likely to cause psychotic behavior.
b. Third, after identifying possible pharmacological reasons, the nurse consults with the health care provider to consider adjustments to the pharmacotherapy.
c. The nurse's first task is to identify likely causes of psychotic behaviors to provide a framework for planning suitable nursing interventions.
d. Finally, to supplement removal of offending medications, the nurse promotes a trusting relationship with the older adult by expressing respect and concern.