Gerontology Final review (100% VERIFIED with correct answers)

While caring for an older adult the nurse determines that further teaching regarding bowel elimination is needed when the patient makes which statement? A) " Ill do some exercise and increase my daily fluid intake" B) " I'll give myself an enema if I don''t have a bowel movement every day" C) "I'll Increase my intake of fruits and vegetables " D) " I'll try to eat more whole grain foods, like bran, daily" correct answers B) " I'll give myself an enema if I don''t have a bowel movement every day" A Nurse is caring for an older adult who recently had small watery bowel movements. The patient now complains of pressure in the rectal area and abdominal cramping. Which is the most appropriate initial nursing action? A) Administer and oil- retention enema B) Notify the primary care provider of these observations C) Digitally stimulate the rectal sphincter D) Administer the "as needed" (prn) laxative medication correct answers B) Notify the primary care provider of these observations A nurse is caring for an older adult with a history of cardiac problems. The nurse knows it is most important to institute measures to prevent which outcome? A) Constipation B) Diarrhea C) Urinary tract infection D) Bladder incontinence correct answers A) Constipation A nurse is caring for a patient with urge urinary incontinence. Based on the nature of this problem, the nurse plans to institute which nursing interventions? ( Select all that apply) A) avoid placing throw rugs in her room B) Offer her a cup of tea to reduce detrusor muscle spasms C) Place her close to the restroom, and remind her of its location D) Secure her pants with safety pins to keep them secure E) Orient the patient to the location of nearby restrooms correct answers A, C, & E An older woman has begun to stay in her apartment, avoiding socializing with her peers in the independant living center. She states that she cannot wait when she needs to urinate. She is afraid that she will have an accident. What is the most appropriate action for the nurse to take? A) Tell her not to worry because many of the other ladies have the same problem. B) Suggest that she begin to wear an adult incontinence garment when she goes out. C) Recommend that she restrict her fluid intake so the problem does not occur as often D) Provide encouragement, and discuss kegel exercises and other approaches to cope with incontinenece correct answers D) Provide encouragement, and discuss kegel exercises and other approaches to cope with incontinenece