During a pre-operative assessment, a 79-year-old female client describes that she has to urinate frequently but denies having any pain or discomfort with voiding. The nurse documents the data and:
a. recognizes that this is normal for a client of this age
b. is particularly interested in her temperature since she may have a urinary tract infection
c. is concerned and checks the client's blood glucose levels since this is a sign of diabetes
d. notifies the surgeon of the situation immediately
ANS: A
One of the normal age-related changes is a reduction in bladder capacity. The capacity de-clines from 500 to 600 mL in a younger adult to 250 mL in an older adult. Given that this is her only symptom, it is unlikely the client has a urinary tract infection or diabetes. This is not a situation that requires immediate notification since it does not jeopardize the surgery.
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