How it Works
Try Naxlex NCLEX-RN (Free-Trial)

A nurse needs to obtain anthropometric measures of an 80-year-old client. Which of the following statements is true regarding this situation?

A.

Muscle atrophy will increase BMI

B.

Height may decrease due to changes in bone density. C. Increased skin elasticity will affect the waist hip ratio.

C.

Increased muscle mass will affect the mid-call circumference measurements.

Answer and Explanation

The Correct Answer is B

A.    Muscle atrophy, which typically occurs in older adults, may actually reduce BMI, not increase it, because muscle mass decreases with age. 
B.    Height may decrease due to changes in bone density. As people age, bone density decreases, and the vertebrae can compress, leading to a loss in height. This is a common occurrence in older adults. 
C.    Increased skin elasticity will affect the waist-hip ratio. Skin elasticity does not directly affect the waistto-hip ratio. The waist-to-hip ratio is more related to fat distribution than to skin elasticity. 
D.    Increased muscle mass will affect the mid-arm circumference measurements. Older adults typically experience muscle loss, not an increase in muscle mass, so this statement would not be accurate for an elderly client. 
 


Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"C"},"C":{"answers":"A"}}

Explanation

Shortness of breath is a first-level priority because it is a potentially life-threatening issue. It requires immediate attention to ensure the patient is not experiencing an acute respiratory or cardiovascular event.

Headache with pain level 4/10 is a second-level priority because it is uncomfortable but not immediately life-threatening. The nurse should assess the cause of the headache, considering anxiety and other factors.

Generalized anxiety is a third-level priority as it does not pose an immediate threat to life, but should still be addressed to improve the patient’s comfort and well-being.

Correct Answer is C

Explanation

A. While pressure on the TM joint could stimulate a response, it is not the most appropriate method for provocation of a response in an unconscious or semiconscious client.
B. This action can be used to assess for painful stimuli, but pressing on the sternum is a more effective method for provoking a response in non-responding clients.
C. Applying firm pressure to the sternum, or sternal rub, is an effective technique to stimulate a response from clients who are non-responsive to verbal stimuli.
D. While shaking might be used for awakening a client, it is not as reliable or effective as a sternal rub when assessing neurological response in acute stroke patients.

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Register