A nurse is assessing an older adult client who has experienced some loss of bone density. The nurse observes a "hunchback" curvature of the client's spine. The nurse should expect the provider to document which of the following disorders?

Ankylosis

Scoliosis

Lordosis

Kyphosis

Answer and Explanation

The Correct Answer is D

A. Ankylosis refers to the fusion of bones in a joint, leading to stiffness and immobility, but it does not specifically describe a "hunchback" curvature of the spine.
B. Scoliosis involves an abnormal lateral curvature of the spine, not a "hunchback" appearance.
C. Lordosis is characterized by an excessive inward curvature of the lumbar spine, not the outward curvature seen in a "hunchback."
D. Kyphosis is the condition characterized by an abnormal outward curvature of the thoracic spine, leading to a "hunchback" appearance. This is common in older adults, often associated with osteoporosis and loss of bone density.

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Correct Answer is ["C","D","E"]

Explanation

A. Increase in visual acuity: This is incorrect. Visual acuity generally decreases with age due to conditions like presbyopia and cataracts.
B. Decreased systolic blood pressure: This is incorrect. Systolic blood pressure often increases with age due to arterial stiffening and other factors.
Rationale:
C. Degeneration of joints: This is a common physiologic change associated with aging, leading to conditions such as osteoarthritis.
D. Decreased cough reflex: Aging can diminish the effectiveness of the cough reflex, increasing the risk of respiratory infections and aspiration.
E. Decreased bladder capacity: Aging often results in reduced bladder capacity and increased frequency of urination.

A. "You will first feel your baby move in week 24 of pregnancy." B. "The baby's heart beat is audible by a Doppler stethoscope at 12 weeks of pregnancy." C. "Very fine hairs, called lanugo, cover your baby's entire body by week 36 of pregnancy." D. "The sex of the baby is determined by week 30 of pregnancy."

Correct Answer is B

Explanation

A. The mother usually begins to feel fetal movements, or "quickening," between 16 and 25 weeks of pregnancy, not specifically at 24 weeks.
B. The fetal heartbeat is typically audible by a Doppler stethoscope around 12 weeks of pregnancy, which allows for early detection of the fetal heart rate.
C. Lanugo, the fine hair covering the fetus, is present by around 20 weeks but does not cover the entire body by 36 weeks. By 36 weeks, lanugo starts to thin out and diminish.
D. The sex of the baby is typically identifiable by ultrasound by around 18-20 weeks of pregnancy, not specifically by week 30.

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A nurse is assessing an older adult client who has experienced some loss of bone density. The nurse observes a "hunchback" curvature of the client's spine. The nurse should expect the provider to document which of the following disorders?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a class of older adults about the expected physiologic changes of aging. Which of the following changes should the nurse include in the discussion? (Select all that apply.) (Select All that Apply.)

Correct Answer is ["C","D","E"]

Explanation

A nurse is teaching about fetal development to a group of clients in the antenatal clinic. Which of the following statements should the nurse include in the teaching?

Correct Answer is B

Explanation

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