Question

You are a hospital nurse caring for a 62-year-old accountant who was admitted following a motor vehicle accident. During her hospitalization, a significant lack of urination was detected. Her primary care physician has ordered significant testing while the patient is recovering from her injuries. (Learning Objective 2)

a. What circumstances could be causing her infrequent urination?

b. How can infrequent urination negatively impact a patient’s health?

c. Outline how urination may be affected by the effects of aging.

d. Describe the effects of decreased bladder and sphincter tone on urination.

e. What can cause decreased urinary structure muscle tone?

Answer 1

a.What circumstances could be causing her infrequent urination?

Answer: Infrequent invoiding, decrease in sensation of thirst due to aging, habitual low fluid intake.

b.How can infrequent urination negatively impact a patient’s health?

Answer: They develop more UTI and kidney disorder than those who urinate at least every 3 to 4 hours.

c.Outline how urination may be affected by the effects of aging?

Answer: decreased bladder muscle tone may reduce the capacity of bladder to hold urine which will increase frequency of urination, joint problem, alteration in thought process and neuromascular problems.

-The diminished ability of the kidneys to concentrate urine may result in nocturia(urination during the night)

.-Decreased bladder muscle tone may reduce the capacity tof the bladder to hold urine, resulting in increased frequency of urination.

-Decreased bladder contractility may lead to urine retention and stasis, which increases the likelihood of urinary tract infection.

-Neuromuscular problems, degenerative joint problems, alterations in thought processes, and weakness may interfere with voluntary control and the ability to reach a toilet in time.

d.Describe the effects of decreased bladder and sphincter tone on urination.?

Answer:- During prolonged periods of immobility, decreased bladder and sphincter tone can result in poor urinary control and urinary stasis.

e.What can cause decreased urinary structure muscle tone?

People with indwelling urinary catheters lose bladder tone because the bladder muscle is not being stretched by the bladder filling with urine. Other cause of tromatic injuey,immobility, inlarge prostate.

If patient has obesity:- Excess body fat can reduce muscle tone, including the muscles used to control urination. Chronic constipation: Regular straining to have a bowel movement can weaken the muscles that control urination. Diabetes: Diabetes can damage nerves and interfere with sensation.