Author Question: An older adult patient reports losing urine when she bends over or gets out of a chair. What type of ... (Read 52 times)

dakota nelson · **on:** Jul 11, 2018

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 · **Reply #1 on:** Jul 11, 2018

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.