A geriatric nurse is performing an assessment of body systems on an 85-year-old patient. The nurse should be aware of what age-related change affecting the renal or urinary system?
A) Increased ability to concentrate urine
B) Increased bladder capacity
C) Urinary incontinence
D) Decreased glomerular filtration rate
Ans: D
Feedback:
Many age-related changes in the renal and urinary systems should be taken into consideration when taking a health history of the older adult. One change includes a decreased glomerular surface area resulting in a decreased glomerular filtration rate. Other changes include the decreased ability to concentrate urine and a decreased bladder capacity. It also should be understood that urinary incontinence is not a normal age-related change, but is common in older adults, especially in women because of the loss of pelvic muscle tone.
You might also like to view...
A 72-year-old patient is admitted to the hospital for surgery
After the patient returns to the floor, the patient's daughter tells the nurse she is concerned that her mother will overdose on morphine because she keeps pressing the button on her patient-controlled anesthesia (PCA) pump. What is the nurse's best response? A) "You should control how often she presses the button." B) "If she will follow the directions she was given, that will not happen." C) "The PCA device always provides the correct amount, so pressing the button is just for placebo effect." D) "The device is preset, so your mother cannot get more than a specific amount."
While conducting a health history with a client, which of the following findings could provide a possible cause for the client's recent experience with erectile dysfunction?
1. Plays golf twice a week 2. Treatment for type 2 diabetes mellitus for 7 years 3. Body mass index (BMI) 24.5 4. Blood pressure 118/68 mmHg
A student states, "I have identified my personal learning style preference as visual." From this statement, it can be understood that the identified style preference
a. is the only way the individual can learn. b. represents the way the student learns best. c. has been derived primarily from biologic attributes. d. suggests the need to develop additional learning strategies.
The nurse is caring for a patient who is diagnosed with tuberculosis. The patient tells the nurse that the provider plans to order a prophylactic antitubercular drug for family members and asks which drug will be ordered
The nurse will expect the provider to order which drug? a. Isoniazid (INH) b. Pyrazinamide c. Rifampin (Rifadin) d. Streptomycin