Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
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Chapter 22- Urinary Elimination
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | The nurse assists the client to clean up after an incontinence episode. The client says “I’m sorry that you have to do this….” Which response, if made by the nurse, is most appropriate? | |
| A) | “Everything is just fine.” | |
| B) | “I’m happy to help you.” | |
| C) | “It’s no big deal.” | |
| D) | “You shouldn’t worry.” | |
| Ans: | B | |
| Feedback: | ||
| When incontinent episodes occur, discuss the cause with the patient in a matter-of-fact and therapeutic manner. Everything is not just fine for the patient; it is a big deal to him or her. The nurse should not tell the patient how to feel. | ||
| Origin: Chapter 22- Urinary Elimination, 2
Chapter: 22 Client Needs: D4 Cognitive Level: Application Difficulty: Moderate Integrated Process: Nursing process Objective: 5 Page and Header: 308, urinary incontinence |
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| 2. | The 75-year-old client states that when she senses the need to urinate, she is unable to inhibit voiding before she reaches the toilet. What advice would help her incontinence? | |
| A) | “Don’t drink any liquids after 6 pm. This will decrease your urine volume.” | |
| B) | “Make a urination schedule as to when you are incontinent during the day.” | |
| C) | “Remind yourself to urinate every two hours during the day.” | |
| D) | “You need to tell your doctor because this is very unusual.” | |
| Ans: | C | |
| Feedback: | ||
| Urgency incontinence can be aided by adherence to a toileting schedule, Kegel exercises, biofeedback, and medications. | ||
| Origin: Chapter 22- Urinary Elimination, 3
Chapter: 22 Client Needs: D1 Cognitive Level: Application Difficulty: Easy Integrated Process: Nursing process Objective: 5 Page and Header: 309, Box 22-2 |
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| 3. | The nurse instructs a class of older adult women about Kegel exercises. In which of the following urinary conditions would Kegel exercises be ineffective? | |
| A) | Stress incontinence | |
| B) | Urge incontinence | |
| C) | Urinary frequency | |
| D) | Urinary retention | |
| Ans: | D | |
| Feedback: | ||
| Kegel exercises are an approach to strengthening the pelvic floor muscles, which can lead to an improvement in control over urine incontinence, not retention. | ||
| Origin: Chapter 22- Urinary Elimination, 4
Chapter: 22 Client Needs: D4 Cognitive Level: Application Difficulty: Moderate Integrated Process: Nursing process Objective: 2 Page and Header: 306, Urinary System Health Promotion |
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| 4. | The nurse determines that the 75-year-old female client is not fully emptying her bladder with each void, contributing to urinary incontinence. Which of the following interventions will enhance the client’s ability to void? | |
| A) | Increase coffee and tea intake | |
| B) | Massage bladder area with each void | |
| C) | Run warm water over hands prior to voiding | |
| D) | Stand upright to void | |
| Ans: | B | |
| Feedback: | ||
| Massage using the Crede’ maneuver helps to empty the bladder. Standing and warm water help initiate a urine stream. Caffeine should be limited. | ||
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