Which of the following assessment data will the nurse anticipate finding on the older adult? Select all that apply.
Slower reaction time
Decreased intestinal motility
Increased risk for respiratory infections
Increased bladder capacity
Decalcification of bones
Correct Answer : A,B,C,E
Choice A reason: This is a correct answer. Slower reaction time is a common finding on the older adult, as the nervous system becomes less efficient and responsive with age. The older adult may have difficulty processing information, responding to stimuli, or performing complex tasks. The nurse should assess the older adult's cognitive and sensory function, and provide them with safety and assistance as needed.
Choice B reason: This is a correct answer. Decreased intestinal motility is a common finding on the older adult, as the digestive system becomes slower and weaker with age. The older adult may have problems with constipation, indigestion, or malabsorption. The nurse should assess the older adult's bowel habits, dietary intake, and nutritional status, and provide them with education and intervention as needed.
Choice C reason: This is a correct answer. Increased risk for respiratory infections is a common finding on the older adult, as the immune system becomes less effective and protective with age. The older adult may have more susceptibility to viruses, bacteria, or fungi that can cause pneumonia, bronchitis, or tuberculosis. The nurse should assess the older adult's respiratory function, symptoms, and history, and provide them with prevention and treatment as needed.
Choice D reason: This is not a correct answer. Increased bladder capacity is not a common finding on the older adult, as the urinary system becomes smaller and less elastic with age. The older adult may have problems with urinary incontinence, retention, or infection. The nurse should assess the older adult's urinary habits, output, and quality, and provide them with education and intervention as needed.
Choice E reason: This is a correct answer. Decalcification of bones is a common finding on the older adult, as the skeletal system becomes less dense and strong with age. The older adult may have problems with osteoporosis, fractures, or arthritis. The nurse should assess the older adult's bone health, mobility, and pain, and provide them with education and intervention as needed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This is not the main purpose of educating the client. The client may or may not teach others about their medications, but that is not the nurse's responsibility.
Choice B reason: This is the best answer. Educating the client helps them understand their health status, treatment options, and self-care needs. This empowers them to make informed decisions that affect their health and well-being.
Choice C reason: This is not a valid reason for educating the client. The client may still need the nurse's assistance even after receiving education. The nurse's role is to support the client, not to make them independent.
Choice D reason: This is not a good reason for educating the client. The client should not advise others on their medical conditions, as this may lead to misinformation or harm. The client should refer others to qualified health professionals for advice.
Correct Answer is B
Explanation
Choice A reason: This is not the statement that the nurse should prioritize. The adolescent may be experiencing a crush or a rejection, which are common and normal feelings for their age. The nurse should listen and empathize with the adolescent, but also reassure them that there are other people who like and care for them, and that their self-worth is not dependent on one person's opinion.
Choice B reason: This is the statement that the nurse should prioritize. The adolescent may be suffering from an eating disorder or a body image disturbance, which are serious and potentially life-threatening conditions. The nurse should assess the adolescent's weight, height, vital signs, and nutritional intake, and refer them to a specialist if needed. The nurse should also educate the adolescent on the dangers of skipping meals, the benefits of a balanced diet, and the importance of self-acceptance and self-esteem.
Choice C reason: This is not the statement that the nurse should prioritize. The adolescent may be facing a peer pressure or a bullying situation, which are common and challenging issues for their age. The nurse should support and encourage the adolescent to pursue their interests and hobbies, and to stand up for themselves and others. The nurse should also help the adolescent to develop coping skills, such as assertiveness, problem-solving, and stress management.
Choice D reason: This is not the statement that the nurse should prioritize. The adolescent may be experiencing a role conflict or a career dilemma, which are common and normal dilemmas for their age. The nurse should respect and acknowledge the adolescent's preferences and aspirations, and help them to explore their options and potentials. The nurse should also facilitate a communication and understanding between the adolescent and their parent, and help them to reach a compromise or a solution.
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