A nurse is teaching a newly licensed nurse about physiological changes in the digestive system that occur with aging.The nurse should include older adults might experience which of the following physiological changes?
Increased muscle tone of the bowel.
Increased gastric acid production.
Decreased pH of the stomach.
Decreased intestinal peristalsis.
The Correct Answer is D
Choice A rationale
Aging usually leads to a decrease in muscle tone of the bowel rather than an increase, which can result in slower bowel movements and constipation.
Choice B rationale
Gastric acid production tends to decrease with age, not increase. This can affect the digestion and absorption of nutrients, and also increase the risk of stomach infections.
Choice C rationale
The pH of the stomach tends to become less acidic (increase) as one ages, not decrease. This is often due to the reduced production of gastric acid.
Choice D rationale
Decreased intestinal peristalsis is a common physiological change in older adults. This slowing down of the intestinal movements can lead to constipation and other digestive issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Hypothermia is not commonly associated with diarrhea. Diarrhea typically leads to fluid loss and dehydration rather than changes in body temperature.
Choice B rationale
A rigid abdomen is not a typical finding for diarrhea. It may indicate other gastrointestinal issues, such as peritonitis, rather than dehydration caused by diarrhea.
Choice C rationale
Decreased bowel sounds are not typically expected with diarrhea, which often presents with increased bowel sounds due to increased motility.
Choice D rationale
Dehydration is a common finding in clients with diarrhea due to the excessive loss of fluids and electrolytes from frequent, loose stools. It can lead to symptoms such as dry mouth, reduced urine output, and dizziness.
Correct Answer is D
Explanation
Choice A rationale
Instilling ophthalmic medication directly on the cornea can cause irritation and discomfort. Medications should be administered in the conjunctival sac.
Choice B rationale
Asking the client to tightly squeeze their eyes shut after instillation can expel the medication, reducing its effectiveness. Gentle closing of the eyes is recommended.
Choice C rationale
Cleaning the eye from the outer canthus to the inner canthus is not the proper method. The correct method is to clean from the inner canthus to the outer canthus to avoid contaminating the inner eye.
Choice D rationale
Applying pressure to the nasolacrimal duct after instillation helps prevent the medication from draining into the nasolacrimal system, ensuring better absorption in the eye. .
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