A community health nurse is working with a group of older adult clients. Which of the following physiological changes should the nurse identify as a factor associated with aging?

Decrease in perspiration

Thinning of the fingernails

Loss of bone mass

Decrease in pain threshold

Answer and Explanation

The Correct Answer is C

A. Decrease in perspiration: A decrease in perspiration is a normal physiological change associated with aging. Sweat glands become less active, leading to reduced perspiration.
B. Thinning of the fingernails: While nail changes can occur with aging, thinning of the fingernails is not as commonly highlighted as a key physiological change compared to bone mass loss or decreased perspiration.
C. Loss of bone mass: Loss of bone mass is a well-documented physiological change associated with aging, leading to conditions like osteoporosis.
D. Decrease in pain threshold: The pain threshold may actually increase with age, making older adults less sensitive to pain rather than more sensitive.

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Correct Answer is B

Explanation

A. Avoid using moisturizers on the client's skin. Moisturizers are important for maintaining skin integrity, especially in clients with incontinence, to prevent skin breakdown.
B. Place the client on a timed voiding schedule. This is correct. A timed voiding schedule can help manage incontinence by reducing the frequency of wetness and thereby preventing skin breakdown.
C. Place the client in high-Fowler's position while in bed. High-Fowler’s position is not typically indicated for preventing skin breakdown and can increase pressure on the sacral area.
D. Wash urine off the client's skin with hot water and soap. Washing with hot water and soap can be harsh and irritating to the skin. It is better to use mild soap and lukewarm water.

Correct Answer is ["63"]

Explanation

To calculate the infusion rate, divide the total volume to be infused by the total time in hours:

250 mL / 4 hr = 62.5 mL/hr
Rounded to the nearest whole number, this is 63 mL/hr.

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A community health nurse is working with a group of older adult clients. Which of the following physiological changes should the nurse identify as a factor associated with aging?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has limited mobility and is experiencing urinary incontinence. Which of the following actions should the nurse take to prevent skin breakdown?

Correct Answer is B

Explanation

A nurse is preparing to administer 0.9% sodium chloride 250 mL. IV to infuse over 4 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["63"]

Explanation

A community health nurse is working with a group of older adult clients. Which of the following physiological changes should the nurse identify as a factor associated with aging?

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