Nokea
A nurse is preparing a presentation at a senior center about age-related musculoskeletal changes. Which of the following changes should the nurse plan to include?
- A. Reduced chest width
- B. Increased force of isometric contraction
- C. Decreased muscle mass
- D. Thickened vertebral discs
Correct Answer: C
Rationale: The correct answer is C: Decreased muscle mass. As people age, there is a natural decline in muscle mass known as sarcopenia. This can lead to reduced strength and mobility. Choice A, reduced chest width, is not a typical age-related musculoskeletal change. Choice B, increased force of isometric contraction, is not a typical change and may lead to muscle fatigue. Choice D, thickened vertebral discs, is not a common age-related change and may actually lead to disc degeneration. By including decreased muscle mass in the presentation, the nurse can educate the seniors about a common musculoskeletal change that may impact their daily activities.
You may also like to solve these questions
A nurse in a provider’s office is assessing a client who has rheumatoid arthritis (RA). Which of the following findings is a late manifestation?
- A. Low-grade fever
- B. Weight loss
- C. Anorexia
- D. Knuckle deformity
Correct Answer: D
Rationale: The correct answer is D: Knuckle deformity. Knuckle deformity in rheumatoid arthritis is a late manifestation due to prolonged inflammation and joint damage. This occurs after the initial symptoms such as low-grade fever, weight loss, and anorexia. Low-grade fever, weight loss, and anorexia are early systemic manifestations of RA caused by inflammation and metabolic changes. Knuckle deformity indicates advanced joint damage and chronic inflammation. Therefore, it is considered a late manifestation compared to the other options.
A community health nurse is developing a pamphlet about breast self-examination (BSE) for a local health fair. Which of the following instructions should the nurse include?
- A. Using the palm of the hand, feel for lumps using a circular motion.
- B. Expect some breast dimpling or discharge with age.
- C. Breasts can be examined in the shower with soapy hands.
- D. For those who have a menstrual cycle, perform a BSE every month, 2 or 3 days before menstruation.
Correct Answer: C
Rationale: The correct answer is C: Breasts can be examined in the shower with soapy hands. This instruction is important because warm water and soap help to make the examination more comfortable and easier to detect any abnormalities. By examining the breasts in the shower, the individual can incorporate BSE into their routine without it feeling like a separate task. This method also allows for better coverage and thorough examination of the entire breast tissue.
Choice A is incorrect because using the palm of the hand in a circular motion may not be as effective in detecting lumps compared to using the fingertips. Choice B is incorrect as breast dimpling or discharge are not normal signs of aging, and should be reported to a healthcare provider. Choice D is incorrect as performing BSE at specific times in the menstrual cycle is not necessary.
A nurse is preparing to perform an abdominal assessment on a client. Identify the sequence of steps the nurse should take to conduct the assessment. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)
- A. Inspect the abdomen for skin integrity.
- B. Ask the client about having a history of abdominal pain.
- C. Auscultate the abdomen for bowel sounds.
- D. Percuss the abdomen in each of the four quadrants.
- E. Palpate the abdomen gently for tenderness.
Correct Answer: A,B,C,D,E
Rationale: Action to Take: A, B; Potential Condition: None; Parameter to Monitor: C, E.
Rationale:
1. Inspecting for skin integrity (A) allows the nurse to assess for any visible abnormalities or lesions.
2. Asking about abdominal pain history (B) provides insight into potential underlying conditions.
3. Auscultating for bowel sounds (C) helps assess gastrointestinal motility and function.
4. Percussing the abdomen (D) helps identify areas of abnormal fluid or gas accumulation.
5. Palpating for tenderness (E) assesses for pain or masses in the abdomen.
Summary:
- Not inspecting the abdomen (A) could miss skin abnormalities.
- Not asking about abdominal pain history (B) could overlook important medical information.
- Skipping auscultation (C) could lead to missing crucial gastrointestinal assessment.
- Not percussing (D) may result in overlooking potential abdominal issues.
- Omitting palpation (E) could miss detecting tend
A nurse is preparing to administer 40 mg of furosemide IV. Available is furosemide 10 mg/mL. How many mL should the nurse administer per dose?
Correct Answer: 4
Rationale: Correct Answer: A nurse should administer 4 mL of furosemide per dose. To calculate this, divide the total dose (40 mg) by the concentration (10 mg/mL). 40 mg ÷ 10 mg/mL = 4 mL. This ensures the correct dosage is administered.
Choice B: Incorrect. This choice does not follow the correct calculation method and does not provide the accurate dosage.
Choice C: Incorrect. This choice does not consider the concentration of the medication and does not provide the correct amount to administer.
Choice D: Incorrect. This choice does not involve the necessary division of the total dose by the concentration, resulting in an incorrect answer.
Choice E: Incorrect. This choice does not show a clear calculation method or consideration of the medication concentration.
Choice F: Incorrect. This choice lacks any calculation or explanation, making it an insufficient answer.
Choice G: Incorrect. This choice does not provide any reasoning or calculation to support the amount to administer, making it an inadequate
A nurse is caring for four clients who have drainage tubes. Which of the following clients is at risk for hypokalemia?
- A. The client who has a tracheostomy tube attached to humidified oxygen.
- B. The client who has an indwelling urinary catheter to gravity drainage.
- C. The client who has a chest tube to water seal.
- D. The client who has a nasogastric tube to suction.
Correct Answer: D
Rationale: The correct answer is D. The client with a nasogastric tube to suction is at risk for hypokalemia because suctioning can lead to loss of gastric contents, which contain potassium. This can result in decreased potassium levels in the body, leading to hypokalemia.
A: The client with a tracheostomy tube attached to humidified oxygen is not at risk for hypokalemia as oxygen therapy does not directly impact potassium levels.
B: The client with an indwelling urinary catheter to gravity drainage is not at risk for hypokalemia as urinary drainage does not affect potassium levels significantly.
C: The client with a chest tube to water seal is not at risk for hypokalemia as chest tube drainage does not lead to potassium loss.
In summary, choice D is correct because suctioning via a nasogastric tube can cause potassium loss, while choices A, B, and C are incorrect as they do not directly impact potassium levels.