Author Question: A nurse instructs a class of older adult women about Kegel exercises. In which of the following ... (Read 17 times)

abern · **on:** Jul 11, 2018

A nurse instructs a class of older adult women about Kegel exercises. In which of the following urinary conditions would Kegel exercises be effective? (Select all that apply.)

A) Functional incontinence
B) Pelvic organ prolapse
C) Stress incontinence
D) Urge incontinence
E) Urinary retention

Question 2

A nurse assesses a 70-year-old man who has high blood pressure and chronic obstructive pulmonary disease (COPD). He has been prescribed nicardipine and ipratropium inhaler.

This medication combines a calcium-channel blocker and an anticholinergic. For which of the following urinary effects should the nurse teach the client to monitor?

A) Nocturia
B) Urinary tract infection (UTI)
C) Urge incontinence
D) Hematuria

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

Answer to Question 1

Ans: B, C, D
Pelvic floor muscle exercise (PFME) is an evidence-based practice that is effective as a first-line intervention for men and women with stress, urge, and mixed incontinence and in women with pelvic organ prolapse. Functional impairments are a major risk factor for the development of incontinence because they can interfere with the ability to recognize and respond to the urge to void in a timely manner. Because older adults have a shorter interval between the perception of the urge to void and the actual need to empty the bladder, any delay in reaching an appropriate receptacle can result in incontinence.

Answer to Question 2

Ans: A

Calcium-channel blockers decrease bladder contractility and can cause urinary retention, frequency, nocturia, and incontinence. Anticholinergic agents decrease bladder contractility, and relaxed bladder muscle can cause urinary retention, frequency, and incontinence.