The nurse is caring for an older adult client on a medical-surgical unit. The client tells the nurse, "I don't get any sleep at night because I have to get up and use the bathroom every couple of hours!"
When providing an explanation for the nocturia, which statement by the nurse is the most appropriate?
A) "As you get older, there is a decrease in number of nephrons."
B) "As you get older, there is a decrease in the blood supply to your bladder."
C) "As you get older, you may have a decrease in bladder capacity."
D) "As you get older, there is a decrease in cardiac output, which can cause your symptoms."
Answer: C
Approximately 70% of older women and 50% of older men have to get up two or more times during the night to empty their bladders due to decreased bladder capacity. A decrease in blood supply causes an increase in urine concentration. A decrease in the number of nephrons decreases the filtration rate. A decrease in cardiac output decreases peripheral circulation, which would decrease urinary output day or night.
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The nurse is planning care for several older patients in a long-term care facility. At which points in time will the nurse assess the patients for pain? (Select all that apply.)
A) After helping with morning care B) When the patients complain of pain C) Prior to providing a patient with a meal D) When assessing the patients' vital signs E) When a patient asks for pain medication
If a patient lacked capacity to make decisions regarding his/her treatment, the healthcare professionals would be justified in providing this treatment as long as ______.
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