A nurse presents at a conference regarding functional ...

[shofmannx20]

A nurse presents at a conference regarding functional consequences related to urinary elimination. Which of the following statements should the nurse include?
 
  A) Most older women will develop urinary incontinence by the age of 85.
  B) Most older adults will experience hypertrophy and relaxation of muscles in the urinary tract and pelvic floor.
  C) Excretion of penicillin and cimetidine are decreased in older adults.
  D) Healthy older adults experience an increase in glomerular filtration rate.

Question 2

A nurse assesses the urinary elimination of older adults. Which of the following actions by the nurse is most appropriate?
 
  A) Work to identify terms that the older adult comprehends.
  B) Wait until the person initiates a discussion of this embarrassing topic.
  C) Give the interview questions to the client in writing.
  D) Ask the older adult to keep a urination diary.

[whitcassie]

Answer to Question 1

Ans: C
Age-related changes in kidney function can impact water-soluble medications that are highly dependent on the glomerular filtration rate. This would include digoxin, penicillin, aminoglycosides, and cimetidine.

Answer to Question 2

Ans: A
Although nurses usually learn to discuss urinary elimination with relative ease, older adults may feel uncomfortable with the topic, especially if there are gender or age differences between the older person and the nurse. In addition, older adults may be reluctant to discuss urinary problems because they tend to accept urinary leakage as an inevitable consequence of aging and gradually increase their tolerance threshold. Because of varying social contexts, successful interviewing about urinary elimination and incontinence depends on identifying the terms that are least embarrassing and most understandable to the older adult.