Exam (elaborations)
NURSING CARE OF OLDER ADULTS EXAM 2 QUESTIONS AND ANSWERS
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NURSING CARE OF OLDER ADULTS EXAM 2 QUESTIONS AND ANSWERS
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NURSING CARE OF OLDER ADULTSEXAM 2 QUESTIONS AND ANSWERS
Age related changes that can predispose people to urinary incontinence - answer--
increased post void residual
-decrease in detrusor contraction
-increased prostate
-relaxation of pelvic muscles
-decreased estrogen in women
Acute reversible causes of incontinence - answer-diappers
Diappers - answer--delerium
-infection
-atrophy vaginitis or urethritis
-pharmacology
-psychological
-endocrine
-restricted mobility
-retention
-stool
Stress incontinence - answer-leaking associated with activities that increase intra-
abdominal pressures
Urge incontinence - answer-feels urge to void and needs to go rapidly, inability to make
to bathroom leads to voiding of large amt of urine leakage
Most common incontinence among older population - answer-urge incontinence
Overactive bladder continence - answer-associated with urgency, frequency; can be
with or without leakage
Overflow incontinence - answer-results in fact that bladder cannot empty due to outlet
obstruction or impaired bladder muscle innervations
Functional incontinence - answer-incontinence due to mobility difficulties or cognition
impairment
Components of incontinence history & physical examination - answer--medical history
-medication
-surgeries
-urological history
-gyn history for women
, -continence hx
Continence history - answer--symptoms
-duration
-voiding pattern
-leaking episodes
Fluids & foods to consider/aviod with incontinence - answer--fluid intake must be
adequate
-caffeine
-alcohol
-artificial sweetness
--tomato based products
Behavioural therapy for incontinence - answer-patient made aware of voiding patters
and their actions
Pelvic muscle exercise programs - answer-program to actively increase pelvic floor
muscles strength
Types of incontinence that pelvic muscle exercise programs can help - answer--urge
-stress
3 non-pharmalogical nursing interventions to treat incontinence - answer--behavioral
therapies
-pelvic muscle exercise programs
-biofeedback
-education
Scheduled toileting program - answer-fixed schedule while patient awake, helpful for
urge,stress, void incontinence
Prompted toileting program - answer-geared for patients that need staff,caregiver
involvement, positive reinforcement, often used in long term care
Habit toileting program - answer-toilet schedule based on individuals voiding pattern
Assistive devices for older adults with incontinence - answer--commode chairs
-bed pan
-female urinal
Medications for urge incontinence - answer-oxytrol, detrol
3 components of normal sleep - answer--temporal structure
-consolidated
-occurs during darkness
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