An elderly female patient tells the nurse that she is having trouble "holding her water" and doesn't want to drink fluids anymore. Which of the following does this information provide to the nurse?
1. The patient is experiencing incontinence.
2. The patient has a urinary tract infection.
3. The patient has a reduced thirst reflex.
4. The patient needs estrogen cream.
The patient is experiencing incontinence.
Rationale: One common disorder seen in the genitourinary tract of the elderly is incontinence. Incontinence occurs when urine exceeds the bladder's capacity. There is not enough evidence to support the patient having a urinary tract infection. The patient states that she does not want to drink fluids, which would not support a reduced thirst reflex. The use of estrogen cream would be indicated for atrophic vaginitis or a decrease of estrogen in the vaginal tissues.
You might also like to view...
As the nursing students learn about the functioning of the nervous system, they learn that the energy required by the nerves is provided by what?
A) Dopamine and electricity B) Oxygen and glucose C) Sodium and potassium D) Acetylcholine and serotonin
At 1 minute after birth the nurse assesses the infant and notes: a heart rate of 80 beats/min, some flexion of extremities, a weak cry, grimacing, and a pink body but blue extremities. The nurse would calculate an Apgar score of:
a. 4. b. 5. c. 6. d. 7.
A child is recovering from Kawasaki disease (KD). The child should be monitored for which?
a. Anemia b. Electrocardiograph (ECG) changes c. Elevated white blood cell count d. Decreased platelets
During an individual session with a client, the nurse states, "You say you are upset about the number of fights your son has been involved in, but you smile as you say so and you brag about your son being known as a tough guy"
Which therapeutic communication technique is the nurse using? a. confrontation c. reflection b. informing d. focusing