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Reference page 450 global rationale cognitive level

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Reference: Page 450Global Rationale:Cognitive Level:AnalyzingClient Need:Health Promotion and MaintenanceClient Need Sub:Nursing/Integrated Concepts:Nursing Process: EvaluationLearning Outcome:2. Differentiate among normal and disease-related changes in genitourinaryand renal function in the older adult.Question 16Type:MCSA
The nurse is assessing an older male patient. Which finding indicates the need for furtherinvestigation?1.The absence of libido2.Orgasms of reduced intensity3.Difficulty delaying ejaculation4.An erection that is less firm than in earlier yearsCorrect Answer:1Rationale 1: Although the libido of a man may diminish with aging, the loss of sexual driveshould be viewed with concern.Reference: Page 450Rationale 2: The characteristics of the orgasm change with age as they are reduced in intensityand force.Reference: Page 450Rationale 3: Difficulty anticipating or delaying ejaculation is a normal finding in an older malepatient.Reference: Page 450Rationale 4: The erection is often less firm but capable of penetration.Reference: Page 450Global Rationale:Cognitive Level:AnalyzingClient Need:Physiological IntegrityClient Need Sub:Reduction of Risk PotentialNursing/Integrated Concepts:Nursing Process: Assessment
Learning Outcome:2. Differentiate among normal and disease-related changes in genitourinaryand renal function in the older adult.Question 17Type:MCMAAn older patient is experiencing overflow incontinence. What should the nurse identify as causesfor this change in urinary functioning?Standard Text:Select all that apply.1.History of dementia2.Enlarged prostate gland3.Treatment for gastric ulcers4.Diagnosis of diabetes mellitus5.Prescribed a calcium channel blockerCorrect Answer:2,4,5Rationale 1: Functional incontinence is associated with a history of dementia.Reference: Page 455Rationale 2: An enlarged prostate gland is associated with overflow incontinence.Reference: Page 455Rationale 3: Treatment for gastric ulcers is not associated with any type of urinary incontinence.Reference: Page 455Rationale 4: Diagnosis of diabetes mellitus is associated with overflow incontinence.Reference: Page 455
Rationale 5: Calcium channel blockers are associated with overflow incontinence.Reference: Page 455Global Rationale:Cognitive Level:AnalyzingClient Need:Physiological IntegrityClient Need Sub:Reduction of Risk PotentialNursing/Integrated Concepts:Nursing Process: AssessmentLearning Outcome:2. Differentiate among normal and disease-related changes in genitourinaryand renal function in the older adult.Question 18Type:MCMAThe nurse is planning care for an older patient with stress incontinence. Which interventionswould be appropriate for the nurse to suggest to the patient?

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Term
Spring
Professor
MaryJaneK.DiMattio
Tags
Nursing, Gerontology, AGING, Senescence

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