An alert, independent, 89-year-old male resident with congestive heart failure has been on Lasix for a week. Over the past 2 days he has been frequently incontinent and does not make it to the bathroom in time
He tells the nurse that he is having spasms in his lower abdomen. What diagnosis would best apply to this resident?
a. Impaired urinary elimination
b. Functional urinary incontinence
c. Stress urinary incontinence
d. Urge urinary incontinence
ANS: D
Urge urinary incontinence occurs with the physiologic changes of aging. The use of diuretics, increased bladder stimulation from urinary tract infections, and involuntary bladder spasms cause the older adult to have a feeling of urgency and result in incontinence.
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