A nurse is collecting data from an older client for signs of dehydration. Which of the following findings should the nurse consider an expected part of the aging process?
Elevation of urine specific gravity
Dry oral mucus membranes
Poor skin turgor over the sternum
Decreased creatine clearance
The Correct Answer is D
A. Elevation of urine specific gravity
This may indicate concentration of urine due to dehydration but is not an expected age-related change.
B. Dry oral mucus membranes
Could suggest dehydration but not an expected normal change; should be evaluated.
C. Poor skin turgor over the sternum
Skin elasticity declines with age, but this makes turgor a less reliable indicator, not necessarily a normal sign of dehydration.
D. Decreased creatinine clearance
Normal with aging due to reduced renal function, even if serum creatinine appears normal due to lower muscle mass.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Decreased impulse conduction speed
Aging causes slower nerve conduction due to loss of myelin and reduced neurotransmitter activity, leading to slower reflexes and response times.
B. Atherosclerosis and decreased cellular respiration
These factors affect circulation and energy production but are not primary causes of slowed neurologic responses.
C. Inadequate tissue oxygenation
Can affect brain function acutely, but it's not the main cause of chronic, gradual slowing in the elderly.
D. Loss of neurons in the brain
While this occurs with aging, slowed reflexes are more specifically linked to nerve impulse transmission rather than neuron quantity alone.
Correct Answer is A
Explanation
A. Arthritis
Arthritis, especially osteoarthritis, is the most common cause of functional limitation and disability among older adults.
B. Urinary tract infection
While common in the elderly, UTIs are typically acute conditions and not a leading cause of long-term disability.
C. Macular degeneration
Though this affects vision and can cause impairment, it is less common than arthritis and does not affect mobility.
D. Pressure ulcers
These result from immobility, rather than causing it, and are more of a complication than a primary cause of disability.
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