An older adult client in a long-term care facility has dementia and begins to have frequent episodes of urinary incontinence. After the provider finds no medical cause for his incontinence, which of the following interventions should the nurse initiate to manage this behavior?
Remind the client to tell the nurse when he has to urinate
Use adult diapers to prevent frequent clothing changes.
Take the client to the bathroom on an every-2-hr schedule.
Request a prescription for an indwelling urinary catheter.
The Correct Answer is C
A. Remind the client to tell the nurse when he has to urinate.
Reminding the client may not be effective, as individuals with dementia may have difficulty expressing their needs or may forget to communicate when they need to use the bathroom. It relies on the client's ability to remember and communicate.
B. Use adult diapers to prevent frequent clothing changes.
While adult diapers can be part of a comprehensive plan for managing incontinence, they should not be the sole intervention. Relying solely on diapers does not address the underlying causes of incontinence and may not promote optimal dignity and quality of life.
C. Take the client to the bathroom on an every-2-hr schedule.
This is the correct choice. Taking the client to the bathroom on a regular schedule (timed voiding) is a proactive approach to managing urinary incontinence in individuals with dementia. It helps reduce the likelihood of accidents by ensuring regular opportunities for toileting.
D. Request a prescription for an indwelling urinary catheter.
Indwelling urinary catheters are generally not recommended for managing routine urinary incontinence due to the associated risks, including infection. Catheters should be used judiciously and based on medical necessity.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Cheese omelet
A cheese omelet may be acceptable for a Hindu diet, as it doesn't contain beef or pork. However, it's important to consider the individual's specific dietary preferences and any other restrictions they may follow.
B. Hamburger
A hamburger typically contains beef, which may not align with Hindu dietary laws. Hindus, in general, avoid beef, as the cow is considered a sacred animal in Hinduism.
C. Bologna sandwich
Similar to the hamburger, a bologna sandwich often contains pork products. Pork is generally avoided by individuals adhering strictly to Hindu dietary laws.
D. Steamed vegetables
Steamed vegetables are a safe option for a Hindu diet as they are plant-based and do not contain beef or pork. They align with the dietary preferences of many Hindus.
Correct Answer is B
Explanation
A. “Most of my calories each day should be from fats.”
This statement is not accurate. While fats are essential for a balanced diet, it is not recommended for the majority of calories to come from fats. The emphasis should be on a variety of macronutrients, including carbohydrates and proteins.
B. “I should eat more calories from complex carbohydrates than anything else.”
This is the correct choice. Individuals with diabetes are often encouraged to obtain the majority of their calories from complex carbohydrates. These include whole grains, vegetables, and legumes, which have a slower impact on blood glucose levels.
C. “Simple sugars are needed more than other calorie sources.”
This statement is not accurate for individuals with diabetes. Simple sugars can lead to rapid spikes in blood glucose levels and should be consumed in moderation.
D. “Protein should be my main source of calories.”
This statement is not accurate. While protein is important for overall health, it is not recommended for protein to be the main source of calories. A balanced diet with an emphasis on complex carbohydrates is typically recommended.
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