A nurse is assessing an older adult client who reports a sudden onset of urinary incontinence. The nurse should recognize which of the following conditions is most likely to cause incontinence in the older adult client?
Cystitis
Nephrosclerosis
Diverticulitis
Uremia
The Correct Answer is A
A. Cystitis, or a urinary tract infection (UTI), is a common cause of sudden-onset urinary incontinence in older adults. UTIs can lead to irritation of the bladder, increasing the urgency and frequency of urination, and sometimes causing incontinence.
B. Nephrosclerosis involves the hardening of the renal arteries, which can lead to chronic kidney disease, but it is not a typical cause of sudden-onset urinary incontinence.
C. Diverticulitis affects the colon and does not directly cause urinary incontinence. It is more associated with gastrointestinal symptoms like abdominal pain and changes in bowel habits.
D. Uremia is a condition resulting from severe kidney dysfunction, leading to the accumulation of waste products in the blood, but it does not directly cause sudden-onset urinary incontinence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Generativity vs. stagnation is a stage focused on contributing to society and helping to guide future generations, rather than on establishing personal relationships.
B. Identity vs. role diffusion is the stage where individuals explore and form their personal identity, rather than focusing on establishing committed relationships.
C. Trust vs. mistrust is the initial stage of psychosocial development, focusing on developing trust in caregivers rather than forming intimate relationships.
D. Intimacy vs. isolation is the stage where individuals focus on forming deep, committed relationships and connections with others. Establishing relationships with commitment is a central task of this stage.
Correct Answer is D
Explanation
A. While voiding is important for comfort and to avoid bladder pressure on the uterus, it is not the priority action in this situation given the low blood pressure.
B. Asking about pain medication is important for managing discomfort but does not address the immediate concern of the low maternal blood pressure.
C. Notifying the provider is necessary, but the priority is to stabilize the client’s condition first.
D. Placing the client in a lateral position can help alleviate pressure on the inferior vena cava, which can improve blood flow and increase blood pressure, addressing the immediate concern of hypotension and potential impact on fetal well-being.
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