Which of the following clients presents with an increased risk for urinary incontinence? (Select all that apply.)
1. The 74-year-old diagnosed with parkinsonism 5 years ago
2. The 25-year-old with Crohn's disease diagnosed 4 years ago
3. The 62-year-old Alzheimer's disease client diagnosed 8 years ago
4. The 34-year-old mother of two diagnosed with multiple sclerosis 8 years ago
5. The 73-year-old diagnosed with benign prostatic hyperplasia (BPH) 6 years ago
6. The 69-year-old client diagnosed with type 2 diabetes 9 years ago
ANS: 1, 3, 4, 5, 6
Many diseases and conditions affect the ability to micturate. Diabetes mellitus and multiple scle-rosis cause changes in nerve functions that can lead to possible loss of bladder tone, reduced sensation of bladder fullness, or inability to inhibit bladder contractions. Older men often suffer from BPH, which makes them prone to urinary retention and incontinence. Some clients with cognitive impairments, such as Alzheimer's disease, lose the ability to sense a full bladder or are unable to recall the procedure for voiding. Diseases that slow or hinder physical activity interfere with the ability to void. Degenerative joint disease and parkinsonism are examples of conditions that make it difficult to reach and use toilet facilities. Crohn's disease is gastrointestinal in nature and does not directly affect micturition.
You might also like to view...
The nurse is teaching family members of a patient with hepatitis A virus (HAV). Family members were exposed to the patient and, therefore, should receive immunoglobulin. The nurse should tell the family members that immunoglobulin:
A) Prevents hepatitis infection in all people B) Provides immunity for life C) Must be administered within 2 weeks of exposure D) Should be administered even if the person has anti-HAV antibodies
To reduce the risk of orthostatic hypotension in a client prescribed a diuretic antihypertensive medication, the nurse would teach the client to
a. increase fluid intake. b. increase intake of potassium. c. sit up before standing, and stand before walking. d. stand up quickly using sturdy support.
Depolarization is the same as contraction
Indicate whether the statement is true or false
A parent brings a 16-month-old child to the clinic for a well-child checkup. During the assessment, the nurse finds that the child cannot stand next to furniture and does not try to pull himself up from a sitting position
The child is lagging in which of the following processes? 1. Growth 2. Development 3. Height 4. Behavior