An older adult patient reports losing urine when she bends over ...

[dakota nelson]

An older adult patient reports losing urine when she bends over or gets out of a chair. What type of incontinence does the nurse plan interventions for?
 
  a. Overflow
  b. Urge
  c. Functional
  d. Stress

Question 2

A nurse is reviewing possible first-line medications for a new, older type 2 diabetic. What contraindication does the nurse identify for metformin (Glucophage)?
 
  a. Patient drinks three to four alcoholic drinks/day
  b. Patient's parents both took insulin
  c. Creatinine 0.9 mg/dL
  d. Potassium 3.8 mEq/dL

[lindahyatt42]

Answer to Question 1

D
Stress incontinence is commonly seen in older women who involuntarily lose urine as the result of a sudden increase in intraabdominal pressure. Overflow incontinence consists of frequent in-voluntary losses of small amounts of urine. Functional incontinence is manifested by loss of large volumes of urine because of a lack of awareness of the need to void or a mobility problem. Urge incontinence is accompanied by a sudden urge to void.

Answer to Question 2

A
Patients with hepatic or renal dysfunction should not take metformin. A patient who drinks as much as three to four alcoholic drinks a day has a real risk of liver disease. The use of insulin by the parents is not related. Both kidney lab values are normal.

[dakota nelson]

Excellent

[bigcheese9]

Thanks for the timely response, appreciate it