Question 1

An older adult woman has a resistant strain of pneumonia.To best minimize her risk of developing acute renal failure, the nurse:

Accepted Answer

A) monitors the client's serum BUN levels via diagnostic laboratory work. 
B) helps the client select low sodium foods from her daily menu. 
C) offers the client a drink at least every 2 hours while she is awake. 
D) measures and records the client's urinary output. 
A) monitors the client's serum BUN levels via diagnostic laboratory work. 
B) helps the client select low sodium foods from her daily menu. 
C) offers the client a drink at least every 2 hours while she is awake. 
D) measures and records the client's urinary output. C

Question 2

An older adult client is hospitalized for surgery to treat injuries he received in an automobile accident.The nurse recognizes symptoms suggestive of an upper urinary tract infection when the client:

Accepted Answer

A) voids 100 mL of urine over a 3-hour period of time. 
B) is not able to state where he is or what day it is. 
C) has an elevated red blood cell ( RBC ) count. 
D) reports burning when he urinates. 
A) voids 100 mL of urine over a 3-hour period of time. 
B) is not able to state where he is or what day it is. 
C) has an elevated red blood cell ( RBC ) count. 
D) reports burning when he urinates. B

Question 3

When assessing the client for urinary incontinence, which client symptom best supports the nursing diagnosis of overflow incontinence?

Accepted Answer

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 dribble urine almost constantly." 
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 dribble urine almost constantly." A

Question 4

When preparing educational information regarding benign prostatic hyperplasia (BPH) for a group of older male clients, the nurse includes which of the following? Select all that apply.

Accepted Answer

A) Eighty percent of males experience the symptoms by age 80. 
B) Diabetes mellitus is a risk factor. 
C) It is only as the prostate enlarges that symptoms occur. 
D) The resulting urinary retention can cause urinary tract infections. 
E) Symptoms are a result of urethral obstruction. 
A) Eighty percent of males experience the symptoms by age 80. 
B) Diabetes mellitus is a risk factor. 
C) It is only as the prostate enlarges that symptoms occur. 
D) The resulting urinary retention can cause urinary tract infections. 
E) Symptoms are a result of urethral obstruction.

Question 5

When assessing an older client for the possible cause of his acute urinary incontinence, the nurse demonstrates an understanding of exacerbating factors when doing which of the following? Select all that apply.

Accepted Answer

A) Asking when he had his last normal bowel movement 
B) Monitoring his intake and output 
C) Determining whether he has ever been screened for prostatic hypertrophy 
D) Questioning him as to whether he awakens during the night to urinate 
E) Measuring his abdominal girth 
A) Asking when he had his last normal bowel movement 
B) Monitoring his intake and output 
C) Determining whether he has ever been screened for prostatic hypertrophy 
D) Questioning him as to whether he awakens during the night to urinate 
E) Measuring his abdominal girth

Question 6

The nurse is completing an admission assessment on an older client who has been diagnosed with benign prostate hyperplasia.The nurse's priority questioning focuses on:

Accepted Answer

A) family history of prostate disorders. 
B) onset of symptoms. 
C) psychosocial impact of the diagnosis. 
D) typical urinary voiding patterns. 
A) family history of prostate disorders. 
B) onset of symptoms. 
C) psychosocial impact of the diagnosis. 
D) typical urinary voiding patterns.

Question 7

An older adult client reports "losing urine" when she bends over or gets out of a chair.In light of her symptoms, the nurse edits the client's care plan to include Altered urinary function, __________ incontinence.

Accepted Answer

A) overflow 
B) urge 
C) functional 
D) stress 
A) overflow 
B) urge 
C) functional 
D) stress

Question 8

When caring for older adults, the nurse expects to encounter the normal urinary age-related outcome of:

Accepted Answer

A) urinary incontinence. 
B) low-grade bladder infection. 
C) nocturia. 
D) urinary residual volume. 
A) urinary incontinence. 
B) low-grade bladder infection. 
C) nocturia. 
D) urinary residual volume.

Question 9

An older adult client's urinary incontinence is being addressed by prompted voiding.The nurse instructs all ancillary staff to do which of the following? Select all that apply.

Accepted Answer

A) Provide only minimal fluids after 7 pm. 
B) Keep the client on the toilet until voiding occurs. 
C) Allow the client to void at times other than those scheduled. 
D) Offer toileting during the night only when the client is awake. 
E) Encourage the client to toilet himself. 
A) Provide only minimal fluids after 7 pm. 
B) Keep the client on the toilet until voiding occurs. 
C) Allow the client to void at times other than those scheduled. 
D) Offer toileting during the night only when the client is awake. 
E) Encourage the client to toilet himself.

Question 10

An 87-year-old client who does not have a history of urinary incontinence has suddenly become incontinent.In dealing with this problem, the nurse's first action should be to:

Accepted Answer

A) review his medication record for medications that may be causing urinary incontinence. 
B) seek an order from the physician for an indwelling urinary catheter to prevent skin breakdown. 
C) limit his fluid intake to reduce his feeling of having to void so often. 
D) remind him every 2 hours that he needs to void and assist him to a bedside commode or toilet. 
A) review his medication record for medications that may be causing urinary incontinence. 
B) seek an order from the physician for an indwelling urinary catheter to prevent skin breakdown. 
C) limit his fluid intake to reduce his feeling of having to void so often. 
D) remind him every 2 hours that he needs to void and assist him to a bedside commode or toilet.

Question 11

An older client is admitted with possible chronic renal failure (CRF).The nurse notifies the attending physician with the results showing the client's:

Accepted Answer

A) increased calcium level. 
B) increased red blood cells. 
C) decreased BUN level. 
D) decreased creatinine clearance level. 
A) increased calcium level. 
B) increased red blood cells. 
C) decreased BUN level. 
D) decreased creatinine clearance level.

Question 12

An older cognitively impaired adult client is being prepared for discharge to be cared for by her daughter.The nurse knows that the continued success of the client's bladder training for urinary incontinence primarily rests upon the:

Accepted Answer

A) client's ability to follow instructions. 
B) severity of the impairment of the client's urinary sphincter. 
C) client's ability to sense the need to urinate. 
D) daughter's ability to support the training. 
A) client's ability to follow instructions. 
B) severity of the impairment of the client's urinary sphincter. 
C) client's ability to sense the need to urinate. 
D) daughter's ability to support the training.

Exam 28: Urinary Function

An older adult woman has a resistant strain of pneumonia.To best minimize her risk of developing acute renal failure, the nurse:

An older adult client is hospitalized for surgery to treat injuries he received in an automobile accident.The nurse recognizes symptoms suggestive of an upper urinary tract infection when the client:

When assessing the client for urinary incontinence, which client symptom best supports the nursing diagnosis of overflow incontinence?

When preparing educational information regarding benign prostatic hyperplasia (BPH) for a group of older male clients, the nurse includes which of the following? Select all that apply.

When assessing an older client for the possible cause of his acute urinary incontinence, the nurse demonstrates an understanding of exacerbating factors when doing which of the following? Select all that apply.

The nurse is completing an admission assessment on an older client who has been diagnosed with benign prostate hyperplasia.The nurse's priority questioning focuses on:

An older adult client reports "losing urine" when she bends over or gets out of a chair.In light of her symptoms, the nurse edits the client's care plan to include Altered urinary function, __________ incontinence.

When caring for older adults, the nurse expects to encounter the normal urinary age-related outcome of:

An older adult client's urinary incontinence is being addressed by prompted voiding.The nurse instructs all ancillary staff to do which of the following? Select all that apply.

An 87-year-old client who does not have a history of urinary incontinence has suddenly become incontinent.In dealing with this problem, the nurse's first action should be to:

An older client is admitted with possible chronic renal failure (CRF).The nurse notifies the attending physician with the results showing the client's:

An older cognitively impaired adult client is being prepared for discharge to be cared for by her daughter.The nurse knows that the continued success of the client's bladder training for urinary incontinence primarily rests upon the:

Overview of Gerontologic Nursing

Theories of Aging

Legal and Ethical Issues

Gerontologic Assessment

Cultural Influences

Family Influences

Socioeconomic and Environmental Influences

Health Promotion and Illnessdisability Prevention

Health Care Delivery Settings and Older Adults

Nutrition

Sleep and Activity

Safety

Intimacy and Sexuality

Mental Health

Pain

Infection

Chronic Illness and Rehabilitation

Substance Abuse

Cancer

Loss and End-Of-Life Issues

Laboratory and Diagnostic Tests

Pharmacologic Management

Cardiovascular Function

Respiratory Function

Endocrine Function

Gastrointestinal Function

Musculoskeletal Function

Cognitive and Neurologic Function

Integumentary Function

Sensory Function

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