The nurse is caring for an 84-year-old patient. Which finding would be expected?
Decreased skin elasticity
Increased muscle strength
Enhanced night vision
Improved short-term memory
The Correct Answer is A
Choice A reason: Decreased skin elasticity is an expected finding in an 84-year-old, as aging reduces collagen and elastin, causing thinner, less resilient skin. This physiological change increases wrinkling and fragility, making it a common and anticipated sign in elderly patients.
Choice B reason: Increased muscle strength is not expected in an 84-year-old, as aging leads to sarcopenia, reducing muscle mass and strength. This causes weakness and mobility issues, making this an incorrect finding for an elderly patient’s typical presentation.
Choice C reason: Enhanced night vision is not typical in aging; older adults often experience reduced night vision due to retinal changes and slower pupil adaptation. This makes night vision an incorrect expected finding for an 84-year-old patient.
Choice D reason: Improved short-term memory is not expected, as aging often impairs short-term memory due to neuronal loss and slower cognitive processing. Memory decline is common in the elderly, making this an incorrect finding for an 84-year-old.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: 2 mL provides 2 mg (5 mg/5 mL = 1 mg/mL, so 2 mL = 2 mg), which is half the ordered 4 mg. This underdoses the patient, making it incorrect for the prescribed dosage.
Choice B reason: Diazepam 5 mg/5 mL means 1 mg/mL. For 4 mg, 4 mL is needed (4 mg ÷ 1 mg/mL = 4 mL). This delivers the correct dose, making 4 mL the correct answer.
Choice C reason: 5 mL delivers 5 mg (5 mg/5 mL), exceeding the ordered 4 mg. This overdoses the patient, risking sedation, making 5 mL incorrect for the prescribed dosage.
Choice D reason: 6 mL delivers 6 mg, significantly exceeding the 4 mg order. This overdose increases side effects like respiratory depression, making 6 mL incorrect for the correct dosage.
Correct Answer is A
Explanation
Choice A reason: Hand washing is the most effective technique to prevent pathogen transmission during wound care, as it removes microorganisms from the hands, reducing contamination risk. It is the foundation of infection control, making it the primary teaching focus for patients and families.
Choice B reason: Wearing gloves is important but secondary to hand washing, which must precede glove use to ensure clean hands. Gloves alone do not address hand contamination before or after wound care, making this less effective than hand washing.
Choice C reason: Washing the wound removes debris but does not prevent pathogen transmission from the caregiver’s hands to the wound. Hand washing is the primary defense against introducing pathogens, making wound washing a supportive but secondary action.
Choice D reason: Wearing eye protection prevents splash exposure but is less critical than hand washing, which directly reduces pathogen transfer during wound care. Eye protection is situational, while hand hygiene is universally essential, making this less effective.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
