Author Question: An 87-year-old patient has suddenly become incontinent. What should the nurse's first action be? ... (Read 64 times)

Capo · **on:** Jul 11, 2018

An 87-year-old patient has suddenly become incontinent. What should the nurse's first action be?

a. Review the patient's record for medica-tions that may be causing urinary inconti-nence.
b. Seek an order for an indwelling urinary catheter to prevent skin breakdown.
c. Limit the patient's fluid intake to reduce the feeling of having to void so often.
d. Teach the patient to void every 2 hours when awake during the day or night.

Question 2

To minimize an older adult's risk for developing postsurgical atelectasis, the nurse does which of the following? (Select all that apply.)

a. Regularly assesses and medicates for pain
b. Teaches effective deep-breathing tech-niques
c. Provides oxygen via nasal cannula
d. Encourages the patient to drink all fluids on meal trays
e. Assesses lung sounds frequently

Viet Thy · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

A
Medication is a common cause of incontinence and should always be suspected as a potential cause of new incontinence. A catheter is not needed. Limiting fluids leads to dehydration. Void-ing every 2 hours at night will disrupt sleep.

Answer to Question 2

A, B, D
Promotion of deep breathing, effective pain management, adequate hydration, frequent position changes, and early mobility will decrease the risk of developing atelectasis. Providing oxygen and assessing lung sounds will not prevent atelectasis from occurring.