Exam (elaborations)
Gerontological Nursing, 4e (Tabloski) Chapter 17 The Genitourinary and Renal Systems
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Gerontological Nursing, 4e (Tabloski) Chapter 17 The Genitourinary and Renal Systems
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Gerontological Nursing, 4e (Tabloski)Chapter 17 The Genitourinary and Renal Systems
1) Thernurserisrcaringrforrarclientrwhorstates,r"IrfeelrfinerotherrthanrIrhaverbeenrfrequentlyrgetti
ngrupratrnightrtorgortortherbathroom."rWhichrclinicalrmanifestationrisrthisrclientrexperiencing
?
1. Fluidroverload
2. Increasedrglycosuria
3. Hormonalrimbalance
4. Age-
relatedrchangesrAnswer
:r 4
Explanation:r 1.rOlderradultsrhaverardecreasedrresponsertorfluidroverloadrbyrnotrincreasingrurinerout
put.
2. Olderradultsrexcreterlessrglucoserinrtherurine.
3. Hormonalrimbalancesraffectrtherurethrarinrwomenrcausingrarthinnerrsphincterrmusclerandrtherpro
staterinrmenrcausingrarconstrictionrofrtherurethra.
4. Therkidneysrofrolderradultsrexcretermorerfluidrandrelectrolytesratrnightrthanrinrtherdaytime.rMo
rerurinerisrformedratrnight,rfrequentlyrinterruptingrsleeprpatterns.
PagerRef:r427
CognitiverLevel:r Analyzing
ClientrNeed:r PhysiologicalrIntegrity
ClientrNeedrSub:rReductionrofrRiskrPotentialrNur
s/IntegrConc.:r NursingrProcess:rAssessment
LearningrOutcome:rr1.rDescriberthernormalrchangesrofragingrinrtherphysiologyrofrthergen
itourinaryrandrrenalrsystems.
1
Copyrightr©r2019rPearsonrEducation,rInc.
, 2) Thernurserreviewingrtherlaboratoryrresultsrforranrolderrclientrnotesrtherspecificrgravityrisrbelowr
normal.rThernurse'srassessmentrfindingsrincluderartemperaturerofr98.9℉,rheartrrater102rbpm,rB/Pr
110/64,randrrespirationsr20/min.rWhichrconditionrdoesrthernursersuspectrtherclientrisrexperiencing
?
1. Dehydration
2. Hypernatremia
3. Glomerulonephritis
4. Hypokalemiar
Answer:r 1
Explanation:r1.rOlderradultsrarerlessrablertorconcentratertheirrurine,rmakingrthemrsusceptiblertordehy
dration.rInraddition,rthererisrardeficitrofrtherthirstrresponse.rTherclinicalrassessmentrfindingsrindicater
therclientrisrexperiencingrdehydration.
2. TheragingrkidneyrisrlessrresponsivertorcirculatingrADH,rproducingrurinerthatrisrpoorlyrcon
centratedrandrrichrinrsodium.
3. Ardecreaserofrbloodrtortherkidneyroccursrinrconjunctionrwithrardecreasedrglomerularrfiltrationrrate
rasrpartrofrtheragingrprocess.rGlomerulonephritisrisranracuterinflammationrofrtherkidney.
4. Therchangesrinrtherrenalrsystemrpredisposertherolderradultrtorhyperkalemia.rPa
gerRef:r427-429
CognitiverLevel:r Analyzing
ClientrNeed:r PhysiologicalrIntegrity
ClientrNeedrSub:rReductionrofrRiskrPotentialrNur
s/IntegrConc.:r NursingrProcess:rAssessment
LearningrOutcome:r2.rDifferentiateramongrnormalrandrdisease-
relatedrchangesrinrgenitourinaryrandrrenalrfunctionrinrtherolderradult.
2
Copyrightr©r2019rPearsonrEducation,rInc.
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