Which finding is considered normal when performing an ear examination of an 80- year-old patient?
Shiny, pink tympanic membrane
High-tone frequency loss
Increased elasticity of the pinna
Thin, translucent membrane
The Correct Answer is B
A. Shiny, pink tympanic membrane: A normal tympanic membrane is typically pearly gray in color, not shiny pink. A pink appearance could suggest inflammation or infection, which would not be considered normal in an older adult.
B. High-tone frequency loss: Presbycusis, the age-related hearing loss, usually begins with difficulty hearing high-frequency sounds such as consonants. This is a common and expected finding in older adults and is considered a normal age-related change.
C. Increased elasticity of the pinna: With aging, the pinna tends to lose elasticity and become more rigid rather than more flexible. Increased elasticity is not characteristic of older adults and would not be considered normal.
D. Thin, translucent membrane: Aging tympanic membranes often become thicker and more opaque, not thinner and translucent. Increased opacity is a typical age-related finding and helps distinguish older tympanic membranes from those of younger adults.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. 12: A Glasgow Coma Scale score of 12 indicates a moderate brain injury. The patient is impaired but not in a coma, as coma is defined by significantly lower scores.
B. 24: The Glasgow Coma Scale ranges only from 3 to 15, so a score of 24 is not possible. The maximum score of 15 reflects a fully alert and oriented patient.
C. 6: A score of 8 or less on the Glasgow Coma Scale indicates coma. A score of 6 demonstrates severe neurological impairment with limited responsiveness, placing the patient in a comatose state.
D. 15: A score of 15 indicates a normal level of consciousness with full eye, motor, and verbal responses. This represents no impairment and does not meet criteria for coma.
Correct Answer is C
Explanation
A. Increase in the number of rugae over the scrotal sac: With aging, there is typically a decrease in rugae rather than an increase. The scrotal skin tends to become smoother and less elastic due to reduced connective tissue and hormonal changes.
B. Enlargement of the testes and scrotum: Aging is associated with a gradual decrease in testicular size and firmness. Enlargement is not expected and may instead suggest pathological conditions such as hydrocele, tumor, or hernia.
C. Decrease in the size of the penis: A reduction in penile size, especially in length and thickness, is an expected age-related change. This occurs due to decreased testosterone levels, reduced blood flow, and loss of connective tissue elasticity.
D. Change in scrotal colour: While vascular changes may lead to some increased pigmentation or visible veins, significant changes in scrotal color are not considered a standard age-related finding. Pronounced discoloration should prompt further evaluation.
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