A nurse is educating a group of senior citizens about the physiological changes that occur with aging.
Which of the following changes should the nurse include in the discussion? (Select all that apply.)
Lower systolic blood pressure
Reduced bladder capacity
Increased difficulty seeing due to heightened sensitivity to glare
Dehydration of intervertebral discs
Reduced cough reflex
Correct Answer : A,B,D,E
Choice A rationale
As people age, the stiffness of the arterial system increases, leading to left ventricle hypertrophy, increased afterload on the left ventricle, and an increase in systolic blood pressure. This is a physiological change that occurs with aging.
Choice B rationale
With aging, the number of cells in the kidneys decreases markedly, which can affect the functioning of the urinary tract, including the bladder. This can lead to a reduced bladder capacity.
Choice C rationale
This statement is incorrect. As people age, they often experience a decrease in visual acuity and an increased sensitivity to glare. This can make it more difficult for older adults to see, especially in brightly lit environments.
Choice D rationale
Dehydration of intervertebral discs is a common occurrence with aging. This can lead to a decrease in height and changes in the curvature of the spine.
Choice E rationale
As people age, their cough reflex can become reduced. This can increase the risk of aspiration and pneumonia, especially in individuals with other health conditions that affect swallowing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
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.
Correct Answer is B
Explanation
Choice A rationale
While adequate lighting is important for people with vision impairment, direct lighting from open window shades can create glare, which can make vision problems worse.
Choice B rationale
Facing the patient when speaking to them can help the patient use visual cues to better understand the conversation.
Choice C rationale
Using gestures can be helpful for some patients with vision impairment, but it may not be beneficial for a patient with moderate vision impairment who may not be able to see the gestures clearly.
Choice D rationale
Speaking loudly is not necessary for a patient with vision impairment unless they also have a hearing impairment.
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