SOLVED1748

An 80-year-old female presents to the office with urinary incontinence. She has a history of congestive heart failure (CHF) and severe osteoarthritis of her knees. She takes furosemide, but states that she often misses doses because it makes her urinate more frequently. She is embarrassed when she has urinary incontinence while out of the house. She has no dysuria or difficulty controlling her bowel movements. She can feel the urge to urinate, and had rare difficulty with incontinence prior to starting diuretics. Her exam is significant for clear lungs, severe crepitus of both knees, and a normal neurologic exam. Her “Timed Up and Go” test is 30 seconds. What is the next step in the management of her urinary incontinence? A. Discontinue diuretics B. Initiate tamsulosin C. Modify the timing of her diuretic therapy D. Order a computed tomography (CT) of her abdomen and pelvis E. Place an indwelling urinary catheter
SCIENCE
HEALTH SCIENCE
NURSING

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