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

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason: Consuming 30 g of fiber daily benefits digestion and glycemic control but is not specific to type 1 diabetes management. Blood glucose monitoring is critical, making this a secondary intervention.

Choice B reason: Oral hypoglycemics are used for type 2 diabetes, not type 1, which requires insulin due to absolute insulin deficiency. This is incorrect for type 1 diabetes management.

Choice C reason: Monitoring blood glucose four times daily is essential for type 1 diabetes to guide insulin dosing and prevent hypo- or hyperglycemia. This ensures tight glycemic control, making it the correct intervention.

Choice D reason: A bulk-forming laxative addresses constipation, not a primary concern in type 1 diabetes. Glucose monitoring directly manages the condition, making laxatives irrelevant to the care plan.

A. A Kayexalate enema for a patient with severe hypokalemia B. A hypertonic solution enema for a patient with fluid overload volume excess C. A normal saline enema to be repeated until the patient passes stool is obtained D. An oil retention enema for a patient with constipation

Correct Answer is A

Explanation

Choice A reason: A Kayexalate enema for severe hypokalemia should be questioned, as Kayexalate removes potassium to treat hyperkalemia, not hypokalemia. Administering it for low potassium would worsen the condition, risking arrhythmias, making this an incorrect and dangerous order.

Choice B reason: A hypertonic solution enema for fluid volume excess is appropriate, as it draws fluid into the bowel, aiding evacuation and reducing systemic fluid overload. This aligns with the patient’s condition, making it a correct order that does not require questioning.

Choice C reason: A normal saline enema repeated until stool is produced is safe, as saline is isotonic and effective for constipation relief without causing fluid or electrolyte imbalances. This is a standard order, making it appropriate and not requiring no questioning.

Choice D reason: An oil retention enema for constipation is appropriate, as it lubricates stool, facilitating evacuation. This is a standard treatment for relieving constipation, aligning with the patient’s needs, making it a correct order that does not require questioning.

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The nurse is caring for an 84-year-old patient. Which finding would be expected?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is developing a plan of care for a client who has type 1 diabetes mellitus. Which of the following interventions should the nurse include in the plan?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

Which patient will the nurse see first?

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