The nurse is performing a neurological assessment on the older adult. An expected finding is that:

Older adults are more likely to lose short-term memory first

Older adults have increased reflexes

Older adults have increased fine motor movement

Older adults are more likely to lose long-term memory first

Answer and Explanation

The Correct Answer is A

Choice A reason: Older adults commonly experience a decline in short-term memory as part of the normal aging process. This can make it more difficult to recall recent events or information.

Choice B reason: Older adults typically have decreased, not increased, reflexes due to changes in the nervous system.

Choice C reason: Older adults often experience a decline in fine motor movement, rather than an increase. Age-related changes can affect dexterity and coordination.

Choice D reason: Long-term memory is generally preserved longer in older adults compared to short-term memory. Older adults are more likely to have difficulties with recent memories.

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Correct Answer is D

Explanation

Choice A reason: Hypotension (low blood pressure) is not a typical manifestation of the oliguric phase of acute kidney injury. In fact, during this phase, patients are more likely to experience hypertension due to fluid overload.

Choice B reason: Hyperglycemia is not directly related to acute kidney injury. While blood sugar levels can be affected by various factors, they are not a specific manifestation of this condition.

Choice C reason: Weight loss is unlikely in the oliguric phase of acute kidney injury. Instead, patients might experience weight gain due to fluid retention.

Choice D reason: Pulmonary edema is a common manifestation in the oliguric phase of acute kidney injury. This phase is characterized by decreased urine output, leading to fluid overload and subsequent complications such as pulmonary edema, where fluid accumulates in the lungs.

A. High purine diet B. Well-hydrated C. Diuretic use D. Starvation dieting E. Normal BMI

Correct Answer is ["A","C","D"]

Explanation

Choice A reason: A high purine diet is a risk factor for gout because purines are metabolized into uric acid, which can accumulate and form crystals in the joints.

Choice B reason: Being well-hydrated is not a risk factor for gout; in fact, adequate hydration helps prevent gout attacks by diluting and promoting the excretion of uric acid.

Choice C reason: Diuretic use can increase the risk of gout by reducing the kidneys' ability to excrete uric acid, leading to higher levels in the blood.

Choice D reason: Starvation dieting can lead to an increase in uric acid production, raising the risk of gout attacks.

Choice E reason: Having a normal BMI is not a risk factor for gout. Obesity is a known risk factor, while maintaining a healthy weight can reduce the risk of developing gout.

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The nurse is performing a neurological assessment on the older adult. An expected finding is that:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who is in the oliguric phase of an acute kidney injury. Which of the following clinical manifestations would be consistent with the condition?

Correct Answer is D

Explanation

A nurse is discussing gout with a client concerned about developing the disorder. What should the nurse identify as risk factors for the disease? (Select all that apply)

Correct Answer is ["A","C","D"]

Explanation

A nurse in the emergency department is caring for a client who is suspected to be in a cholinergic crisis. Which of the following factors should the nurse identify as a possible cause?

The nurse is caring for a patient with a blood pressure of 88/50 and symptomatic. The nurse recognizes which nursing action is a priority?

A client newly diagnosed with angina pectoris has taken two sublingual nitroglycerin tablets for chest pain. The chest pain is relieved, but the client now reports a headache. The nurse interprets that this most likely represents which response?

The nurse is caring for a child who was recently diagnosed with moderate persistent asthma. Which common asthma triggers should the nurse teach the client to avoid?

The nurse in the medical ICU suspects that the client is experiencing a thyroid storm. Which clinical manifestations should the nurse anticipate?

A client prescribed albuterol sulfate by inhalation is unable to cough up secretions. What actions should the nurse teach the client to help clear bronchial secretions effectively?

The nurse is assessing a client who is experiencing an acute episode of cholecystitis. Which of these clinical manifestations support this diagnosis?