Which assessment finding indicates to the nurse that the patient is experiencing difficulty with proprioception?

The patient must hold on to the railing when ambulating in the hallway.

The patient must add extra seasoning to food in order for it to have any flavor.

The patient suffered a first-degree burn when a heating pad was left on too long.

The patient did not smell smoke even though the smoke detector was alarming.

Answer and Explanation

The Correct Answer is A

Choice A reason: This is correct. The patient must hold on to the railing when ambulating in the hallway indicates that the patient is experiencing difficulty with proprioception. Proprioception is the body's ability to sense its own position, movement, and spatial orientation. It helps the patient maintain balance and coordination. If the patient has impaired proprioception, they may feel unsteady or fall when walking without support.

Choice B reason: This is incorrect. The patient must add extra seasoning to food in order for it to have any flavor does not indicate that the patient is experiencing difficulty with proprioception. This may indicate that the patient has a reduced sense of taste, which can be caused by various factors, such as aging, medication, infection, or smoking. It does not affect the patient's perception of their body or movement.

Choice C reason: This is incorrect. The patient suffered a first-degree burn when a heating pad was left on too long does not indicate that the patient is experiencing difficulty with proprioception. This may indicate that the patient has a reduced sense of pain or temperature, which can be caused by nerve damage, diabetes, or spinal cord injury. It does not affect the patient's perception of their body or movement.

Choice D reason: This is incorrect. The patient did not smell smoke even though the smoke detector was alarming does not indicate that the patient is experiencing difficulty with proprioception. This may indicate that the patient has a reduced sense of smell, which can be caused by nasal congestion, allergy, infection, or head injury. It does not affect the patient's perception of their body or movement.

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Correct Answer is B

Explanation

Choice A reason: This is incorrect. Presbyopia is not a term for age-related hearing loss. Presbyopia is a term for age-related vision loss. Presbyopia is a condition where the lens of the eye becomes less flexible and less able to focus on near objects. It can cause difficulty in reading, writing, or doing other close-up tasks.

Choice B reason: This is correct. Presbycusis is a term for age-related hearing loss. Presbycusis is a condition where the inner ear or the auditory nerve degenerates over time. It can cause difficulty in hearing high-pitched sounds, speech, or background noise. It can also affect the balance and the quality of life.

Choice C reason: This is incorrect. Meniere’s disease is not a term for age-related hearing loss. Meniere’s disease is a term for a disorder of the inner ear that causes episodes of vertigo, hearing loss, tinnitus, and ear fullness. It can affect people of any age, but it is more common in middle-aged adults. It can be triggered by stress, infection, or allergy.

Choice D reason: This is incorrect. Tinnitus is not a term for age-related hearing loss. Tinnitus is a term for a ringing, buzzing, or other sound in the ears or head that is not caused by an external source. It can affect people of any age, but it is more common in older adults. It can be caused by various factors, such as noise exposure, ear infection, medication, or hearing loss.

A. Total urinary incontinence related to inability to feel urge to urinate B. Impaired oral mucous membranes related to decreased salivation and dry mouth C. Bathing self-care deficit related to inability to perceive left-sided body parts D. Disturbed sensory perception related to feeling of electric pain in feet and hands

Correct Answer is B

Explanation

Choice A reason: This is incorrect. Total urinary incontinence related to inability to feel urge to urinate is not appropriate for a patient with xerostomia. Xerostomia is the condition of having a dry mouth due to reduced or absent saliva production. It does not affect the urinary system or the sensation of bladder fullness.

Choice B reason: This is correct. Impaired oral mucous membranes related to decreased salivation and dry mouth is appropriate for a patient with xerostomia. Xerostomia can cause oral mucous membranes to become dry, cracked, inflamed, or infected. It can also affect the patient's ability to chew, swallow, speak, or taste.

Choice C reason: This is incorrect. Bathing self-care deficit related to inability to perceive left-sided body parts is not appropriate for a patient with xerostomia. Xerostomia does not affect the patient's perception of body parts or the ability to perform bathing activities.

Choice D reason: This is incorrect. Disturbed sensory perception related to feeling of electric pain in feet and hands is not appropriate for a patient with xerostomia. Xerostomia does not cause electric pain in the extremities. This symptom may be related to a nerve disorder, such as peripheral neuropathy.

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Which assessment finding indicates to the nurse that the patient is experiencing difficulty with proprioception?

Nursing Test Bank

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Explanation

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