Gerontologic Nursing 5th Edition by Sue E. Meiner
Gerontologic Nursing 5th Edition by Sue E. Meiner
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Chapter 26: Urinary Function
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | urinary incontinence. |
| b. | low-grade bladder infection. |
| c. | nocturia. |
| d. | urinary residual volume. |
ANS: C
With age, increased urine formation at night leads to nocturia. The other findings are not age-related changes.
DIF: Remembering (Knowledge) REF: Page 542 OBJ: 26-1
TOP: Nursing Process: Assessment MSC: Health Promotion
| a. | Review the patient’s record for medications that may be causing urinary incontinence. |
| 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. |
ANS: 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. Voiding every 2 hours at night will disrupt sleep.
DIF: Understanding (Comprehension) REF: Page 542 OBJ: 26-5
TOP: Nursing Process: Assessment MSC: Physiologic Integrity
| a. | Overflow |
| b. | Urge |
| c. | Functional |
| d. | Stress |
ANS: 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 involuntary 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.
DIF: Remembering (Knowledge) REF: Page 543 OBJ: 26-3
TOP: Nursing Process: Assessment MSC: Physiologic Integrity
| a. | “I have small accidents ever since I developed a cystocele.” |
| b. | “It burns so badly after I urinate that I hold it as long as I can.” |
| c. | “I can’t make it to the toilet when I feel the need to urinate.” |
| d. | “I lose small amounts of urine when I sneeze or laugh hard.” |
ANS: A
Typically, individuals with overflow incontinence complain of frequent losses of small volumes of urine, which are commonly a result of cystoceles. Burning indicates a urinary tract infection. “Not making it” to the bathroom is generally functional incontinence. Losing control of the bladder with sneezing or laughing is a manifestation of stress incontinence.
DIF: Remembering (Knowledge) REF: Page 543 OBJ: 26-3
TOP: Nursing Process: Assessment MSC: Physiologic Integrity
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