A nurse is assessing an older adult patient who is experiencing age-related changes.
Which of the following findings should the nurse expect?

Increased joint stiffness

Increased muscle mass

Increased calcification of bones

Decreased balance

Answer and Explanation

The Correct Answer is A

Choice A rationale
Increased joint stiffness is a common age-related change in older adults.
Choice B rationale
Increased muscle mass is not typically an age-related change. In fact, older adults often experience a decrease in muscle mass, a condition known as sarcopenia.
Choice C rationale
Increased calcification of bones is not a typical age-related change. Older adults are more likely to experience osteoporosis, a condition characterized by a decrease in bone density.
Choice D rationale
Decreased balance is a common age-related change, but it is not the correct answer for this question.

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Correct Answer is B

Explanation

Choice A rationale
Holding the pain medication until the patient wakes up is not the best choice. Pain can disrupt sleep, and it’s important to keep the patient as comfortable as possible. If the patient is sleeping, it may be because the pain is well-controlled, and delaying the medication could lead to a return of pain.
Choice B rationale
The patient should be given the scheduled pain medication. This is the best choice because it ensures that the patient’s pain is managed effectively. Even if the patient is sleeping, the medication should be given to prevent the pain from returning.
Choice C rationale
Calling the family and asking if the patient would like to be woken up to have their pain medication is not the best choice. The nurse should make this decision based on the patient’s pain level and the medication schedule, not on the family’s preferences.
Choice D rationale
The statement that the patient has become addicted to the medication and is sleeping the last dose off is not accurate. Addiction is a complex condition characterized by compulsive drug use despite harmful consequences. In this case, the patient is receiving the medication for a legitimate medical reason, and there is no indication of addiction.

A. 100 mL/hr B. 200 mL/hr C. 50 mL/hr D. 150 mL/hr E. 150 mL/hr

Correct Answer is A

Explanation

Step 1 is to calculate the rate of fluid replacement. The formula for this is: Rate (mL/hr) = Total volume (mL) ÷ Time (hr) So, for this question: Rate (mL/hr) = 1000 mL ÷ 10 hr = 100 mL/hr.

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A nurse is assessing an older adult patient who is experiencing age-related changes. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

The provider orders fluid replacement for a dehydrated patient. The order entered is 1000 mL over 10 hours. If using an IV pump, what is the rate that the nurse should enter?

Correct Answer is A

Explanation

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A nurse is assessing an older adult patient who is experiencing age-related changes.
Which of the following findings should the nurse expect?