NURS460 Exam 3 With Correct
Answers
kidney changes with aging - Answer -decreased renal function & blood flow
-increased BUN & creatinine
-increased nocturia
-decreased excretion of drugs
-decreased urine concentration/more dilute urine (lower specific gravity)
-inability to concentrate urine can lead to dehydration
bladder changes with aging - Answer -decreased capacity (more fibrous tissue)
-inability to completely empty bladder (post void residual)
-weaker bladder muscles leading to not fully emptying bladder
-involuntary contractions
-weakening of voluntary pelvic floor muscles
T/F: urinary incontinence is a normal change of aging - Answer false
male reproductive changes with aging - Answer -decreased sperm production
-longer to achieve arousal
-less firm erections
-longer time for sex
-longer refractory period in between rounds
-decrease testosterone
female reproductive changes with aging - Answer menopause: cessation of menses
-decrease in estrogen leading to less vaginal lubrication
-longer to achieve sexual arousal
-changes in breast tissue, hang more
this urinary disorder can present as a change in function or behavior instead of
urgency/frequency - Answer UTIs
, this has been used to help with BPH - Answer saw palmetto
the elderly have a decrease in this which can lead to renal disease because they cannot
filter their urine - Answer GFR
AKI in elderly is usually from these causes - Answer pre renal - decrease bood flow; may
present as postural hypotension rather than oliguria
AKI in elderly with have this kind of edema - Answer dependent edema (gravity related -
common in feet)
this can be a first sign of UTI - Answer confusion or change in mental status
treatments for urinary incontinence - Answer -lifestyle modifications
-scheduled voiding
-kegel exercise
-anti-incontinence devices
-meds
T/F: BPH is a precursor to prostate cancer - Answer false
screening test for prostate cancer - Answer -digital rectal exam
-PSA (prostate specifici antigen)
this value on PSA exam is indicative of prostate cancer - Answer greater than 10
yearly mammograms should occur after this age - Answer 40
these two supplements help prevent against breast cancer - Answer calcium & vitamin
D
mouth changes in aging adult - Answer -teeth loss
-dental disease
-decline in test & smell
-decrease salivary secretion
GI changes in aging adult - Answer -decrease gastric motility with increased stomach
emptying time
-decrease capacity of gastric mucosa to resist damage
-decrease production of intrinsic factor leading to increase risk of pernicious anemia
-decrease intestinal absorption, motility & blood flow
Answers
kidney changes with aging - Answer -decreased renal function & blood flow
-increased BUN & creatinine
-increased nocturia
-decreased excretion of drugs
-decreased urine concentration/more dilute urine (lower specific gravity)
-inability to concentrate urine can lead to dehydration
bladder changes with aging - Answer -decreased capacity (more fibrous tissue)
-inability to completely empty bladder (post void residual)
-weaker bladder muscles leading to not fully emptying bladder
-involuntary contractions
-weakening of voluntary pelvic floor muscles
T/F: urinary incontinence is a normal change of aging - Answer false
male reproductive changes with aging - Answer -decreased sperm production
-longer to achieve arousal
-less firm erections
-longer time for sex
-longer refractory period in between rounds
-decrease testosterone
female reproductive changes with aging - Answer menopause: cessation of menses
-decrease in estrogen leading to less vaginal lubrication
-longer to achieve sexual arousal
-changes in breast tissue, hang more
this urinary disorder can present as a change in function or behavior instead of
urgency/frequency - Answer UTIs
, this has been used to help with BPH - Answer saw palmetto
the elderly have a decrease in this which can lead to renal disease because they cannot
filter their urine - Answer GFR
AKI in elderly is usually from these causes - Answer pre renal - decrease bood flow; may
present as postural hypotension rather than oliguria
AKI in elderly with have this kind of edema - Answer dependent edema (gravity related -
common in feet)
this can be a first sign of UTI - Answer confusion or change in mental status
treatments for urinary incontinence - Answer -lifestyle modifications
-scheduled voiding
-kegel exercise
-anti-incontinence devices
-meds
T/F: BPH is a precursor to prostate cancer - Answer false
screening test for prostate cancer - Answer -digital rectal exam
-PSA (prostate specifici antigen)
this value on PSA exam is indicative of prostate cancer - Answer greater than 10
yearly mammograms should occur after this age - Answer 40
these two supplements help prevent against breast cancer - Answer calcium & vitamin
D
mouth changes in aging adult - Answer -teeth loss
-dental disease
-decline in test & smell
-decrease salivary secretion
GI changes in aging adult - Answer -decrease gastric motility with increased stomach
emptying time
-decrease capacity of gastric mucosa to resist damage
-decrease production of intrinsic factor leading to increase risk of pernicious anemia
-decrease intestinal absorption, motility & blood flow
