Final answer:
Clients with kidney disease and those with a history of urinary incontinence are at an increased risk for an alteration in urinary elimination. Kidney disease affects the body's ability to filter and excrete waste products, while urinary incontinence involves uncontrolled urine leakage and can stem from various health issues.
Step-by-step explanation:
The nurse should identify clients with kidney disease and clients with a history of urinary incontinence as being at an increased risk for an alteration in urinary elimination. Kidney disease can lead to various complications that affect urine production and excretion, thereby disrupting normal urinary elimination. Conditions such as kidney stones, kidney failure, and uncontrolled diabetes can result in kidney damage, affecting the filtration and removal of waste products from the blood.
Urinary incontinence is another significant risk factor that can lead to alterations in urinary elimination. This chronic condition involves the uncontrolled leakage of urine and can be indicative of underlying health issues such as diabetes or obesity. Stress incontinence, usually caused by pelvic floor muscle stretching during childbirth, and urge incontinence, associated with an overactive bladder, are notable types of incontinence that can impact individuals and their quality of life.