Author Question: A nurse develops a plan of care for a family with nursing diagnosis of Caregiver Role Strain related ... (Read 47 times)

craiczarry · **on:** Jul 11, 2018

A nurse develops a plan of care for a family with nursing diagnosis of Caregiver Role Strain related to urinary incontinence. Which of the following interventions is the highest priority?

A) Administer diphenhydramine at bedtime.
B) Assist the client to the bathroom prior to bedtime.
C) Limit the fluid intake of the client to 1000 mL each day.
D) Monitor bowels for diarrhea and constipation.

Question 2

An older adult develops diarrhea. Which of the following is the priority intervention for the nurse?

A) Assess for pancreatitis.
B) Determine the last bowel movement.
C) Review meal preparation techniques with the client.
D) Review the client's medication list.

ally · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

Ans: B
Walking the client to the bathroom encourages voiding prior to bedtime. Urinary incontinence is a major factor that impacts placement in an institution. Fluid intake should be carefully timed and should be about 2,000 mL per day. Diphenhydramine relaxes bladder muscles, which can lead to urinary retention and incontinence.

Answer to Question 2

Ans: D
A number of medications can cause diarrhea in the older adult (e.g., Cimetidine, laxatives, antibiotics, cardiovascular drugs, and cholinesterase inhibitors). Additionally, Clostridium difficile and its related diarrhea are related to antibiotic usage.