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.
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Related Questions
Correct Answer is C
Explanation
A. The need for privacy typically becomes more pronounced in later childhood and adolescence. Preschoolers are usually less concerned with privacy.
B. Building a collection of cards is more typical of older children, such as school-age children, who have more developed organizational skills and interests.
C. Preschoolers (ages 3-5) often engage in imaginative play, which is a normal part of their development. This type of play helps them learn about the world and develop social and cognitive skills.
D. Preschoolers often have difficulty controlling impulsive feelings and are still developing self-regulation skills.
Correct Answer is D
Explanation
A. Kegel exercises do not affect stretch marks. Stretch marks are related to skin stretching and hormonal changes, not pelvic muscle exercises.
B. Kegel exercises are not specifically intended to reduce back aches. They primarily strengthen pelvic floor muscles, which may indirectly support posture but do not directly alleviate back pain.
C. While Kegel exercises can improve pelvic floor muscle strength, they are not directly effective in preventing constipation. Dietary changes and adequate fluid intake are more relevant for preventing constipation.
D. Kegel exercises strengthen the pelvic floor muscles, which support the uterus and can help during childbirth by improving muscle tone and flexibility in the pelvic region, facilitating a smoother delivery process.
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