Author Question: A nurse assesses an older adult 24 hours after a retropubic suspension surgical procedure. The ... (Read 31 times)

NClaborn · **on:** Jul 11, 2018

A nurse assesses an older adult 24 hours after a retropubic suspension surgical procedure. The client is confused, exhibits muscle twitching, and states she is nauseated. Which laboratory data should the nurse assess?

A) Blood urea nitrogen
B) Sodium
C) Hemoglobin
D) White blood cell count

Question 2

Following a prolonged hospital stay due to an exacerbation of congestive heart failure, an older adult woman has returned to the nursing home where she normally resides. The woman became incontinent of urine during her time in the hospital,

a problem that nursing staff wish to now resolve. What action should her caregivers take in performing continence training?

A) Limit the woman's fluid intake to 750 mL daily, primarily before suppertime.
B) Assist the woman with toileting at timed intervals throughout the day.
C) Teach the woman about the functional and psychosocial benefits of restoring continence.
D) Perform intermittent catheterization before each meal and before bedtime.

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

Answer to Question 1

Ans: B
Older adults will more readily develop hyponatremia especially under conditions of physiologic stress (e.g., surgery). The concern is hyponatremia not hemoglobin, or blood urea nitrogen. An UTI increasing the neutrophil count might also impact the sodium level; however, the symptomology exhibited is hyponatremia.

Answer to Question 2

Ans: B
With caregiver-directed methods of continence training, the caregiver uses the initial assessment of voiding patterns to establish a schedule for assisting with voiding. The caregiver gradually increases the interval between voidings until the person can maintain continence for 2 to 4 hours. Fluid restriction to 750 mL per day is inadequate to maintain hydration, and intermittent catheterization does not promote continence. Education is a component of continence training, but individuals are not likely to need to be informed of the benefits of continence.