A nurse is caring for a client who expresses concern about weight gain with age. The nurse should inform the client that weight gain with age can result from which of the following factors?
Increase in protein requirements
Increase in fluid requirements
Decrease in vitamin intake
Decrease in muscle mass
The Correct Answer is D
A. Increase in protein requirements: Protein needs may slightly increase with age to maintain muscle mass, but this does not directly cause weight gain. Instead, inadequate protein may contribute to muscle loss.
B. Increase in fluid requirements: Older adults typically have decreased thirst sensation, not increased fluid needs. Weight gain is not directly linked to hydration needs but more to energy balance.
C. Decrease in vitamin intake: While older adults may have reduced vitamin intake due to dietary changes, this affects micronutrient status rather than causing significant weight gain.
D. Decrease in muscle mass: Sarcopenia, the loss of muscle mass with aging, lowers basal metabolic rate. This decreases calorie expenditure, making it easier to gain weight even with unchanged food intake.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Increased tissue metabolism: Cold therapy slows tissue metabolism by reducing enzymatic activity and cellular function, which helps minimize inflammation and tissue damage, not increase metabolism.
B. Reduced blood coagulation: Cold therapy typically promotes vasoconstriction, which supports blood clotting rather than reducing coagulation. This effect can help control minor bleeding after surgery.
C. Decreased edema formation: Cold therapy causes vasoconstriction, which limits fluid accumulation in tissues and reduces capillary permeability, leading to less swelling and edema formation at the surgical site.
D. Improved blood flow: Cold causes vasoconstriction, which decreases blood flow temporarily. This helps limit inflammation and edema but does not enhance circulation during application.
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}
Explanation
Rationale for Correct Answers:
- Turn the client to their side: This is a crucial first action. During a seizure, turning the client to their side (recovery position) helps to maintain an open airway, prevent aspiration of saliva or vomitus, and allow secretions to drain from the mouth.
- Call for assistance: After ensuring the client's safety and positioning, the nurse should call for help to ensure appropriate and prompt support from the healthcare team.
Rationale for Incorrect Answers:
- Restrain the client: Restraining a client during a seizure can cause injury. Instead, ensure the area is safe and the client is protected from harm without restricting movement.
- Place a tongue blade in the client’s mouth: This is unsafe and outdated. Inserting anything in the mouth during a seizure can break teeth or obstruct the airway.
- Administer lorazepam: Although lorazepam is used to treat ongoing prolonged seizures, it is not the first action in this scenario. Medication administration follows basic safety measures and calling for support.
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