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When an older female patient complains of painful sexual intercourse, what should the nurse recognize as the probable cause?
- A. Urinary incontinence
- B. Arthritic joints
- C. Kyphosis
- D. Mucosal drying
Correct Answer: D
Rationale: Sexual intercourse may be uncomfortable because of drying of the mucosa of the vagina.
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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.
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.
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.
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.
Because thin skin and lack of subcutaneous fat predisposes the older adult to pressure injuries, the nurse alters the care plan to include turning the bedfast patient how often?
- A. Once every shift
- B. Every 4 hours
- C. Each evening
- D. Every 2 hours
Correct Answer: D
Rationale: Pressure injuries can be avoided by repositioning the patient every 2 hours.