An older woman who is a resident of a long-term care facility has to get up and void several times during the night. This can be the result of what physiologic change with normal aging?
A) Diminished kidney ability to concentrate urine
B) Increased bladder muscle tone causing urinary frequency
C) Increased bladder contractility causing urinary stasis
D) Decreased intake of fluids during daytime hours
Ans: A
Physiologic changes that accompany normal aging may affect urination in older adults. These changes include the diminished ability to concentrate urine that may result in nocturia (voiding during the night). Aging does not result in increased bladder muscle tone or increased bladder contractility. A decrease in fluid intake would not result in nocturia.
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