Which assessment finding of an older adult client should the nurse associate with normal aging?

Kyphosis.

Barrel chest.

Lordosis.

Pectus excavatum.

Answer and Explanation

The Correct Answer is A

A. Kyphosis: A rounding of the upper back, causing a hunchback appearance. While it can also be caused by other conditions, a mild kyphosis is a common finding in older adults due to weakening muscles and spinal compression.

B. Barrel chest: This refers to a chest that is fixed in an outward position, often caused by chronic obstructive pulmonary disease (COPD) or other lung conditions.

C. Lordosis: An exaggerated inward curve of the lower back, which is not a typical feature of normal aging.

D. Pectus excavatum: A sunken appearance of the chest wall, usually a congenital condition present from birth.

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Correct Answer is A

No explanation

A. Demonstrates startle reflex. B. Has doubled birth weight. C. Turns head to locate sound. D. Plays "peek a boo."

Correct Answer is A

Explanation

A. Demonstrates startle reflex: The startle reflex (Moro reflex) typically disappears around 3-4 months of age. If a 6-month-old still demonstrates this reflex, it may indicate a developmental delay or neurological issue, requiring further evaluation.

B. Has doubled birth weight: Doubling of birth weight by 6 months is a normal developmental milestone. This response does not require further evaluation as it indicates appropriate growth.

C. Turns head to locate sound: Turning the head to locate sounds is expected at this age and demonstrates normal auditory and neurological development. This response does not require further evaluation.

D. Plays "peek a boo": Playing "peek a boo" is a typical social interaction for a 6-month-old and indicates normal social and cognitive development. This response does not require further evaluation.

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Which assessment finding of an older adult client should the nurse associate with normal aging?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While assessing a client who is obese, the nurse is unable to locate the gallbladder when palpating below the liver margin at the lateral border of the rectus abdominal muscle. Which is the most likely explanation for failure to locate the gallbladder by palpation?

Correct Answer is A

The nurse is assessing a 6-month-old infant. Which response requires further evaluation by the nurse?

Correct Answer is A

Explanation

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