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 C
Explanation
A. a person's state of mind: This refers to subjective perception, not a universal definition.
B. a progressive decline in cognitive function: Cognitive decline is not inevitable in aging and is not a defining characteristic of aging.
C. the process of growing older or more mature: This is the best and most accurate general definition of aging.
D. the process of slowing down: This may occur with aging, but it is not a complete or defining description.
Correct Answer is D
Explanation
A. Fear
May be present, but persistent withdrawal is more characteristic of depression.
B. Stubbornness
Labeling the behavior as stubborn overlooks underlying psychological concerns.
C. Exhaustion
Fatigue may contribute, but alone does not fully explain the behavioral pattern.
D. Depression
Social withdrawal, appetite changes, and lack of interest are common signs of depression in older adults.
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