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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Encouraging the client to use a cane when ambulating is not a cause of concern for the home health nurse, as it is a way of providing support and stability for the client, and preventing falls or injuries.
Choice B reason: Keeping several low wattage night lights on in the evening is not a cause of concern for the home health nurse, as it is a way of improving the visibility and orientation for the client, and reducing the risk of tripping or stumbling in the dark.
Choice C reason: Keeping the side rails up on the client’s bed at night is a cause of concern for the home health nurse, as it is a way of restricting the client’s mobility and increasing the likelihood of entrapment, injury, or death. Side rails can also create a false sense of security and encourage the client to climb over them, which can result in falls or fractures.
Choice D reason: Installing wooden railings on the stairway to the bathroom is not a cause of concern for the home health nurse, as it is a way of enhancing the safety and accessibility for the client, and preventing falls or slips on the stairs.
Correct Answer is D
Explanation
Choice A reason: Evaluating the medication list is a possible step that the nurse can take, as some medications can affect urine concentration or cause dehydration. However, it is not the first step that the nurse should implement, as it does not address the immediate problem of fluid balance.
Choice B reason: Reviewing laboratory reports is another possible step that the nurse can take, as some laboratory tests can indicate the level of hydration or kidney function of the patient. However, it is not the first step that the nurse should implement, as it does not provide a direct assessment of fluid status.
Choice C reason: Increasing oral fluid intake is a potential intervention that the nurse can suggest, as it can help to dilute the urine and prevent dehydration. However, it is not the first step that the nurse should implement, as it may not be appropriate for some patients who have fluid restrictions or other medical conditions.
Choice D reason: Determining fluid volume status is the first step that the nurse should implement, as it can help to identify the cause and severity of urine concentration and guide further actions. The nurse can assess the patient's fluid intake and output, weight, blood pressure, pulse, skin turgor, mucous membranes, and urine specific gravity to determine fluid volume status.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today