Nokea
The nurse is teaching at an interdisciplinary conference focused on age-related changes. Which of the following are expected in the older adult? Select all that apply.
- A. Fatty tissue is redistributed
- B. Skin becomes less elastic
- C. Cardiac output increases
- D. Muscle mass increases
- E. Hormone production increases
- F. Visual and hearing acuity diminishes
Correct Answer: A,B,F
Rationale: Aging involves fat redistribution, less elastic skin, and diminished sensory acuity. Cardiac output, muscle mass, and hormone production decrease.
You may also like to solve these questions
The nurse is teaching a client how to ambulate using a walker. The nurse should
- A. Have the client stand on the side of the walker to have them properly fitted.
- B. Position the top of the walker so it lines up with the client's wrist crease.
- C. Ensure the client's feet are close together while holding onto the walker handgrips.
- D. Instruct the client to lean forward over the walker so they do not lose balance.
- G. None
Correct Answer: B
Rationale: The walker’s top aligns with the wrist crease for proper height. Standing on the side, close feet, or leaning forward are unsafe or incorrect for fitting or use.
The nurse is caring for a client in pain. The nurse asks the client which level of pain he is in, and the client says it's 1 out of 10. The nurse notices that the client grimaces every time he moves. What is the nurse's most appropriate action?
- A. Administer analgesics to the client.
- B. Move on to other patients.
- C. Ask the client about his grimacing with every movement.
- D. Encourage the client to watch his favorite TV show.
Correct Answer: C
Rationale: Grimacing suggests pain despite the low rating, so further assessment clarifies the discrepancy. Administering analgesics, ignoring the issue, or distraction are premature.
The nurse is caring for a client with a Sengstaken-Blakemore tube. The nurse performs safety checks at the beginning of the shift and ensures which priority item is readily available at the bedside?
- A. Trach kit
- B. Scissors
- C. Obturator
- D. Yankauer suctioning
Correct Answer: B
Rationale: A Sengstaken-Blakemore tube is used for esophageal variceal bleeding and has balloons that can cause airway obstruction if inflated improperly. Scissors must be at the bedside to cut the tube in an emergency. Trach kits, obturators, and Yankauer suction are not relevant.
The nurse performs palpation and percussion during a head-to-toe assessment. Over which organ would the nurse expect to hear tympany when percussed?
- A. Stomach
- B. Liver
- C. Normal lung tissue
- D. Tympany is an abnormal finding
Correct Answer: A
Rationale: Tympany, a hollow sound, is expected over the stomach due to air in the gastric bubble. Liver produces dullness, lungs produce resonance, and tympany is normal in certain areas.
The nurse is preparing a staff education program about physiological responses of stress. Which of the following is a physiological alteration that can occur with stress?
- A. Decreased visual acuity
- B. Increased peristalsis
- C. Decreased glucocorticoids
- D. Hyperglycemia
Correct Answer: D
Rationale: Stress triggers hyperglycemia via cortisol release. Visual acuity and peristalsis are not directly affected, and glucocorticoids increase, not decrease.