Hyperglycemia is harder to detect in older adults due to which of the following?

The classic signs of elevated glucose levels, polyuria, polyphagia, and polydipsia are rarely present in older adults

Older adults tend to metabolize glucose at a faster rate than younger adults

Fingerstick glucose monitoring is inaccurate in older adults

There is a higher tolerance for elevated levels of circulating glucose in older adults

Answer and Explanation

The Correct Answer is A

Choice A reason: The classic signs of elevated glucose levels, polyuria, polyphagia, and polydipsia are rarely present in older adults is true because older adults may have impaired thirst sensation, reduced appetite, or altered renal function that can mask these symptoms. They may also have other chronic conditions or medications that can affect their glucose levels or urine output.

Choice B reason: Older adults tend to metabolize glucose at a faster rate than younger adults is false because older adults usually have a slower metabolism and a reduced insulin sensitivity that can impair their glucose regulation. They may also have less muscle mass and more fat tissue that can affect their glucose utilization.

Choice C reason: Fingerstick glucose monitoring is inaccurate in older adults is false because fingerstick glucose monitoring is a reliable and convenient method to measure blood glucose levels in older adults, as long as they follow the proper technique and calibration. They may also benefit from using devices that have larger displays, voice output, or memory functions.

Choice D reason: There is a higher tolerance for elevated levels of circulating glucose in older adults is false because elevated levels of circulating glucose can cause serious complications in older adults, such as cardiovascular disease, kidney disease, nerve damage, or infections. Older adults may have a higher risk of developing these complications due to their age, comorbidities, or frailty.

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Correct Answer is ["B","C"]

Explanation

Choice A: Use an antifungal cleanser daily. This is not a correct answer. Antifungal cleansers are not recommended for treating fungal infections, as they can irritate the skin and disrupt the natural balance of the skin flora¹. Antifungal cleansers may also reduce the effectiveness of other antifungal medications².

Choice B: Eliminate the conditions that created the problem. This is a correct answer. Fungal infections are often caused by factors that create a favorable environment for fungi to grow, such as moisture, warmth, poor hygiene, or weakened immunity³. Eliminating these conditions can help prevent or treat fungal infections by reducing the fungal load and restoring the skin barrier.

Choice C: Thoroughly clean and dry skin daily. This is also a correct answer. Cleaning and drying the skin daily can help remove dirt, sweat, and dead skin cells that can harbor fungi and cause infections. Drying the skin well, especially in the folds and creases, can also prevent moisture buildup that can promote fungal growth.

Choice D: Apply 4x4 dressings to the affected site.This is not a correct answer. Applying dressings to the affected site can trap moisture and heat, which can worsen fungal infections. Dressings may also interfere with the absorption of topical antifungal medications. Dressings are only indicated for fungal infections that cause open wounds or ulcers, and they should be changed frequently and kept clean and dry..

A. A shortened warning time between the desire to void and actual micturition B. The first urge to void occurs at the midbladder volume (250-350 mL) C. Diarrhea is the most common gastrointestinal complaint made to the health care provider D. Constipation as a symptom of altered bladder functions E. None of the above

Correct Answer is A

Explanation

Choice A reason: A shortened warning time between the desire to void and actual micturition is a common sign of urinary incontinence in older adults. It is caused by the decreased bladder capacity, increased bladder irritability, and reduced urethral resistance that occur with aging.

Choice B reason: The first urge to void occurs at the midbladder volume (250-350 mL) is not a correct answer, as this is the normal bladder sensation for adults of all ages. It does not indicate urinary incontinence.

Choice C reason: Diarrhea is the most common gastrointestinal complaint made to the health care provider is not a correct answer, as it is not related to urinary incontinence. It is a separate condition that affects the bowel movements.

Choice D reason: Constipation as a symptom of altered bladder functions is not a correct answer, as it is not a direct cause or effect of urinary incontinence. However, constipation can worsen urinary incontinence by increasing the pressure on the bladder and pelvic floor muscles.

Choice E reason: None of the above is not a correct answer, as there is one choice that is true for urinary incontinence in older adults.

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Hyperglycemia is harder to detect in older adults due to which of the following?

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Naxlex Comprehensive Predictor Exams

The nurse identifies which of the following interventions in the treatment of fungal infections? (Select all that apply.)

Correct Answer is ["B","C"]

Explanation

You realize that your client's bladder functions are only slightly altered by the physiological changes of age. What might you expect if an older person is experiencing urinary incontinence?

Correct Answer is A

Explanation

The nurse is assessing an elder client for hydration. What is the best determination of hydration in this client?

Which of the following is a true statement about assistive devices to aid older adults with impaired mobility?

Your second older adult female client has been experiencing some problems with urinary incontinence. You suggest that she document which of the following in a “bladder/voiding diary”? (Select all that apply.)

An older adult is diagnosed to be in the early stage of Alzheimer's disease. The diagnosis is made on the presence of which of the following outcomes? (Select all that apply.)

When assessing an older male client, what are some issues that might put him at risk for dehydration? (Select all that apply.)

What is the most important aspect of care for the nurse to maintain when assisting an older client with urinary incontinence?

Which of the following is a true statement about skin care for older adults?