Nokea
For what is the older adult patient at increased risk because of age-related changes in the musculoskeletal system?
- A. Fractures due to poor uptake of calcium
- B. Heart attacks due to increased effort to ambulate
- C. Respiratory failure due to kyphosis
- D. Falls related to posture changes
Correct Answer: D
Rationale: Falls are the leading cause of accidental death in individuals over 65, in part because of posture changes brought on by aging.
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What is one positive aspect of Parkinson disease?
- A. The disease does not alter ability to communicate.
- B. Anti-Parkinson drugs have few side effects.
- C. Intellectual function is not impaired.
- D. Involuntary movements can be controlled.
Correct Answer: C
Rationale: Parkinson disease does not impair the intellect. The disease does alter the ability to communicate. Anti-Parkinson drugs have many side effects. The involuntary movements associated with the disease cannot be controlled.
The patient complains to the nurse about a newly developed intolerance to milk. What should the nurse suggest to fulfill calcium needs?
- A. Rye bread
- B. Yogurt
- C. Apples
- D. Raisins
Correct Answer: B
Rationale: Lactose, primarily found in milk, is a common source of food intolerance. Dairy products are an important source of calcium, which is needed to prevent osteoporosis. Lactose-intolerant individuals need to replace milk with cheese and yogurt, which are processed and digested more easily.
A change of aging related to the circulatory system includes decreased blood vessel elasticity. For what should the nurse assess?
- A. Confusion
- B. Tachycardia
- C. Hypertension
- D. Retained secretions
Correct Answer: C
Rationale: The blood vessels become less elastic because of aging and may lead to increased blood pressure.
Which statements are myths that have been disproved concerning aging?
- A. All older adults are senile.
- B. Most older adults live in their own homes.
- C. Older adults are poor.
- D. Older adults have frequent contact with family members.
- E. Older adults are disabled.
Correct Answer: A,C,E
Rationale: All older adults are not senile; this is a myth. Mental decline is not inevitable. Older adults are not all poor, this is a myth. Older adults have a lower poverty rate than younger adults. Older adults are not all disabled; this is a myth. Most are able to manage their own care. Most older adults do live in their own homes and have frequent contact with family members.
Which symptom of diabetes distorts tactile sensation?
- A. Proprioception
- B. Loss of visual acuity
- C. Progressive paresis
- D. Peripheral neuropathy
Correct Answer: D
Rationale: Peripheral neuropathy is the presence of abnormal sensation and it distorts tactile sensation.