A community health nurse is working with a group of older adult clients. Which of the following physiological changes should the nurse identify as a factor associated with aging?

Decrease in perspiration

Thinning of the fingernails

Loss of bone mass

Decrease in pain threshold

Answer and Explanation

The Correct Answer is C

A. Decrease in perspiration: A decrease in perspiration is a normal physiological change associated with aging. Sweat glands become less active, leading to reduced perspiration.
B. Thinning of the fingernails: While nail changes can occur with aging, thinning of the fingernails is not as commonly highlighted as a key physiological change compared to bone mass loss or decreased perspiration.
C. Loss of bone mass: Loss of bone mass is a well-documented physiological change associated with aging, leading to conditions like osteoporosis.
D. Decrease in pain threshold: The pain threshold may actually increase with age, making older adults less sensitive to pain rather than more sensitive.

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Correct Answer is B

Explanation

A. Hgb: A hemoglobin level of 11.1 mg/dL is lower than normal, indicating anemia, which could be concerning but might not be the most urgent issue compared to other findings.
B. Urinalysis results: Positive urine ketones indicate ketonuria, which is significant in the context of hyperemesis gravidarum and may reflect severe dehydration or malnutrition. This finding should be reported to the provider.
C. Intake: The client’s intake of 50% of the meal without emesis is a relevant detail but does not indicate a severe immediate issue compared to the urinalysis results.
D. Temperature: A temperature of 37.2° C (99° F) is slightly elevated but not extremely concerning in this context compared to other findings like ketonuria.

A. Keep daily cholesterol intake between 500 to 750 mg. B. Keep daily fat intake between 20% to 35% of total calories. C. Keep daily protein intake between 40% to 50% of total calories. D. Keep daily sodium intake between 2,000 to 2,500 mg.

Correct Answer is B

Explanation

A. Keep daily cholesterol intake between 500 to 750 mg. The recommended daily cholesterol intake is less than 300 mg.
B. Keep daily fat intake between 20% to 35% of total calories. This is the recommended range for fat intake according to dietary guidelines.
C. Keep daily protein intake between 40% to 50% of total calories. The recommended range for protein intake is about 10% to 35% of total calories.
D. Keep daily sodium intake between 2,000 to 2,500 mg. The recommended daily sodium intake is less than 2,300 mg, and ideally less than 1,500 mg for most adults.

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A community health nurse is working with a group of older adult clients. Which of the following physiological changes should the nurse identify as a factor associated with aging?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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