The nurse is assessing an older adult patient during a regular office visit. The patient reports several symptoms. Which of the following symptoms are not related to the aging process and require further investigation?
Decrease in muscle mass and strength
Lower back and neck pain
Wrinkling and sagging skin
Joint stiffness in fingers
The Correct Answer is D
A. Decrease in muscle mass and strength: A decrease in muscle mass and strength is common with aging, known as sarcopenia. While it should be monitored, it is not necessarily an abnormal finding requiring further investigation unless it is severe or sudden.
B. Lower back and neck pain: Lower back and neck pain can be common with aging due to degenerative changes in the spine or other musculoskeletal issues. However, persistent or severe pain should be evaluated to rule out other causes.
C. Wrinkling and sagging skin: Wrinkling and sagging skin are normal aging changes related to decreased collagen and elastin in the skin. These changes are generally expected with aging.
D. Joint stiffness in fingers: Joint stiffness can be related to aging but may also indicate conditions like arthritis. If the stiffness is significant, persistent, or accompanied by other symptoms, it requires further investigation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
A. "How would you describe your sleep problem?" Understanding how the patient describes their sleep problem provides insight into the nature of the disturbance and its potential causes.
B. "What types of sleep treatments have you tried?" Knowing what treatments have been tried helps identify what has or hasn’t worked and can guide further management.
C. "What do you think is the cause of the sleep problem?" Understanding the patient’s perspective on the cause can help in assessing their awareness and any possible underlying issues.
D. "How does the sleep problem affect your everyday living?" This question assesses the impact of sleep disturbances on daily life and overall well-being, providing context for the severity of the problem.
E. "Don't you think when you get tired enough, you'll sleep well?" This statement does not address the underlying problem and might dismiss the patient’s concerns. It is not useful in assessing or managing sleep disturbances.
Correct Answer is D
Explanation
A. "Drinking coffee at night is okay as long as you are used to it." Caffeine can disrupt sleep patterns and should be avoided close to bedtime, even if the individual is accustomed to it.
B. "Moderate exercise 2 hours before bed is recommended." Moderate exercise can promote better sleep, but it is generally recommended to complete exercise at least a few hours before bedtime to avoid overstimulation.
C. "Drinking alcoholic beverages promotes better sleep." Alcohol can initially induce sleep but often leads to disturbed sleep later in the night and can affect sleep quality.
D. "Most adults require 6-9 hours of sleep per night." This is accurate and reflects the general guideline for sleep duration needed for most adults to maintain health and well-being.
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