Final answer:
When performing a urinary assessment for older adult clients, the nurse should consider the effects of aging on the urinary system, including decreased bladder contractility, neuromuscular problems leading to incontinence, and increased bladder muscle tone causing frequency.
Step-by-step explanation:
The nurse should consider the effect of aging on the urinary system when performing a urinary assessment for older adult clients in an assisted-living facility. One effect of aging is decreased bladder contractility, which can lead to urine retention and stasis, increasing the likelihood of urinary tract infection. Another effect is neuromuscular problems, which may result in incontinence due to the client finding urinary control too difficult. Increased bladder muscle tone, which reduces the capacity of the bladder to hold urine and causes frequency, is another effect of aging to consider.