Nokea
To help prevent falls related to muscle weakness, what type of exercises should be selected for the aging patient?
- A. Daily
- B. Running
- C. Weight-bearing
- D. Aerobic
Correct Answer: C
Rationale: Appropriate interventions to increase muscle strength begin with weight-bearing exercises. They do not have to be done daily to be effective. Running and aerobic exercise would not be appropriate or effective for the aging patient.
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The older adult patient complains to the nurse about nocturia. This problem is most likely related to:
- A. loss of bladder tone.
- B. decrease in testosterone.
- C. decrease in bladder capacity.
- D. intake of caffeine.
Correct Answer: C
Rationale: At least 50% of older men and 70% of older women must get up two or more times during the night to empty their bladders, a condition known as nocturia (excessive urination at night). The most significant age-related change is the decrease in bladder capacity.
Which areas are affected only minimally by age?
- A. Physical activity
- B. Productivity
- C. Cognition
- D. Sexuality
Correct Answer: C
Rationale: Aging has little influence on cognition. Only through disease processes is cognition altered.
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.
At mealtime, the older adult seems to be eating less food than would be adequate. Compared to the younger adult, what is a requirement for the older adult?
- A. More fluids
- B. Less calcium
- C. Fewer calories
- D. More vitamins
Correct Answer: C
Rationale: The older adult requires 30 calories per kilogram of body weight, whereas the younger adult requires 40 calories.
The nurse recognizes that an older adult patient with COPD has a higher incidence of developing which age-related skeletal change that will alter the ability to exchange air effectively?
- A. Osteoporosis
- B. Arthritis
- C. Kyphosis
- D. Osteomyelitis
Correct Answer: C
Rationale: Kyphosis, usually caused by osteoporosis, is a curvature of the spine that alters respiration and air exchange.