During a health history, which of the following can the nurse ask to determine an older adult client's abilities to conduct instrumental activities of daily living? (Select all that apply.)

"Are you able to feed yourself?"

"Do you do your own laundry?"

"Do you shop for groceries?"

"Do you manage your own money?"

Answer and Explanation

Correct Answer : B,C,D

A. "Are you able to feed yourself?": This question relates to basic activities of daily living (ADLs), not instrumental activities of daily living (IADLs).

B. "Do you do your own laundry?": This question assesses the ability to perform IADLs, which include tasks like laundry, managing household chores, and other tasks beyond basic self-care.

C. "Do you shop for groceries?": This question evaluates the client’s ability to perform IADLs, such as shopping for groceries.

D. "Do you manage your own money?": This question is also relevant for assessing IADLs, which include financial management.

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Correct Answer is A

Explanation

A. It filters harmful substances from the body: The lymphatic system plays a crucial role in filtering lymph fluid and removing harmful substances, such as pathogens and toxins, through lymph nodes.

B. It drains capillary blood from the circulation: The lymphatic system does not directly drain capillary blood; instead, it collects interstitial fluid and returns it to the bloodstream.

C. It produces protective antibodies: Antibodies are produced by B lymphocytes in the immune system, not directly by the lymphatic system itself.

D. It manufactures T lymphocytes: While the lymphatic system is involved in the maturation and function of T lymphocytes, their manufacture occurs in the bone marrow and thymus rather than the lymphatic system itself.

A. Ears B. Mouth and throat C. Head and face D. Mental status examination

Correct Answer is B

Explanation

A. Ears: Evaluation of the ears is primarily concerned with hearing and balance, which involve cranial nerves such as VIII (Vestibulocochlear), not IX, X, and XII.

B. Mouth and throat: Cranial nerves IX (Glossopharyngeal), X (Vagus), and XII (Hypoglossal) are assessed through the examination of the mouth and throat. CN IX and X are evaluated by checking the gag reflex and the ability to swallow, while CN XII is assessed by examining tongue movements.

C. Head and face: The assessment of the head and face generally involves cranial nerves V (Trigeminal) and VII (Facial), which control facial sensation and movement, rather than IX, X, and XII.

D. Mental status examination: While mental status is crucial for overall health assessment, it does not specifically target cranial nerves IX, X, and XII.

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During a health history, which of the following can the nurse ask to determine an older adult client's abilities to conduct instrumental activities of daily living? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

A client asks the nurse about the function that the lymph system plays in the body. Which of the following would be most appropriate for the nurse to include when responding to the client?

Correct Answer is A

Explanation

When performing a head-to-toe assessment, during which part would the nurse evaluate cranial nerve (CN) IX, X, and XII?

Correct Answer is B

Explanation

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