The nurse preceptor is providing information for a novice nurse on the normal changes in the renal system of an older female adult. Which statement will the preceptor include in the teaching?
1. "Hyperglycemia is common in the older adult."
2. "The older adult experiences overflow incontinence."
3. "The older adult experiences chronic urinary tract infections."
4. "Incontinence occurs in the older adult due to the loss of bladder capacity."
1. "Hyperglycemia is common in the older adult."
Explanation: 1. The older adult has an increased renal threshold for glucose resulting in higher blood levels of glucose before renal excretion occurs.
2. Overflow incontinence occurs in older clients with diabetes mellitus, B12 deficiency, alcoholism, bladder outlet obstruction, and in men with an enlarged prostate.
3. The older adult is at risk for urinary tract infections due to the inability to completely empty their bladder, but should not have a chronic urinary tract infection.
4. Increased incontinence occurs due to detrusor muscles becoming less contractile and somewhat unstable.
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