Which is the most likely reason that thyroid disorders are often difficult to diagnose in older adults?

The classic symptoms may not be present in older adults.

There are no recognizable symptoms; it is a 'silent killer'.

Presenting symptoms occur very quickly.

The disease rarely occurs in older adults.

Answer and Explanation

The Correct Answer is A

Choice A reason: This is the correct answer because thyroid disorders can cause nonspecific symptoms in older adults, such as fatigue, weight loss, depression, or cognitive impairment, that may be attributed to aging or other conditions.

Choice B reason: This is incorrect because there are recognizable symptoms of thyroid disorders, such as goiter, palpitations, tremors, heat intolerance, or cold intolerance, depending on whether the thyroid is overactive or underactive. However, these symptoms may be less obvious or absent in older adults.

Choice C reason: This is incorrect because presenting symptoms of thyroid disorders do not occur very quickly, but rather gradually over time. This may delay the diagnosis and treatment of the condition.

Choice D reason: This is incorrect because the disease is not rare in older adults, but rather more common, especially in women. The prevalence of thyroid disorders increases with age, and can affect up to 20% of older adults.

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Correct Answer is D

Explanation

Choice A reason: Regular exercise should exceed 30 minutes three times a week, not not exceed. Exercise helps lower blood glucose levels and improve insulin sensitivity.

Choice B reason: A walking program is recommended for an older adult with diabetes, not not recommended. Walking is a low-impact, moderate-intensity exercise that can benefit people with diabetes.

Choice C reason: Insulin can not be discontinued if the individual adheres to the walking program, not most probably. Insulin is a vital hormone that regulates blood glucose levels and prevents complications from diabetes. Exercise alone is not enough to replace insulin therapy.

Choice D reason: The walking regimen needs to be done on a regularly scheduled basis. This is the correct answer because it helps the individual maintain a consistent blood glucose level and avoid hypoglycemia or hyperglycemia. It also helps the individual plan their insulin doses and meals accordingly.

A. Skin turgor at the sternum B. Orthostasis C. Sunken eyes D. Decreased urine output

Correct Answer is ["A","B"]

Explanation

Choice A reason: This assessment is reliable in the older adult because the skin turgor at the sternum is less affected by age-related changes in skin elasticity and hydration than other sites, such as the forearm or the hand. The skin turgor at the sternum can indicate the fluid status of the older adult, as well as the presence of dehydration or edema.

Choice B reason: This assessment is reliable in the older adult because orthostasis, or a drop in blood pressure when changing positions, is a common condition in this population. Orthostasis can be caused by various factors, such as medications, dehydration, anemia, or autonomic dysfunction. Orthostasis can increase the risk of falls, dizziness, syncope, or cardiovascular complications in the older adult.

Choice C reason: This assessment is not reliable in the older adult because sunken eyes are not a specific sign of dehydration in this population. Sunken eyes can be a normal age-related change in the facial structure, or a result of other factors, such as weight loss, malnutrition, or chronic illness. Sunken eyes can also be influenced by the lighting, the angle of observation, or the presence of glasses or contact lenses.

Choice D reason: This assessment is not reliable in the older adult because decreased urine output is not a sensitive indicator of dehydration in this population. Decreased urine output can be influenced by various factors, such as renal function, fluid intake, medications, or environmental conditions. Decreased urine output can also be a sign of other conditions, such as urinary tract infection, urinary retention, or renal failure.

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Which is the most likely reason that thyroid disorders are often difficult to diagnose in older adults?

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Naxlex Comprehensive Predictor Exams

An older adult diagnosed with Type II DM who is being treated with insulin wants to increase his activity level and begin a walking program. What recommendations should the nurse provide to this client?

Correct Answer is D

Explanation

Which of the following assessment(s) is/are considered reliable in the older adult? (Select all that apply.)

Correct Answer is ["A","B"]

Explanation

An African American 58-year-old man in good health has a blood pressure of 120/73 mm Hg at his annual physical examination. Which of the following is the best goal for the nurse to use to assist him in maintaining his health and wellness into older age?

When assessing an older male client, what are some issues that might put him at risk for dehydration? (Select all that apply.)

What is the most important aspect of care for the nurse to maintain when assisting an older client with urinary incontinence?

When educating a client on the use of an adjuvant medication, which statement best demonstrates the nurse’s understanding of this therapy?

An older adult diagnosed with heart failure (HF) reports increasing dyspnea over 2 days. Which of the following should the nurse assess to help determine whether the client has adhered to prescribed therapy? (Select all that apply.)

In a long-term care facility, a nurse is having a discussion with the nurse aides about ways to deal with dementia clients who are uncooperative with mouth care. Appropriate methods to use include which of the following?

The nurse uses comfort measures to enhance an older adult’s pharmacological pain management. Which of the following would be most helpful for the nurse to use to identify the relationships between the comfort measures, activity, and pharmacotherapy, and the older adult's pain level?

What is the most common gastrointestinal complaint made to a health care provider?