A nurse at a provider's office is collecting physical data from an older adult client. Which of the following images should the nurse identify as an example of an expected age-related change?

A
B
C
D
The Correct Answer is D
A. Close-up of eyes with yellow sclera: Could indicate jaundice or liver dysfunction, which is not an expected part of aging and requires further evaluation.
B. Older adult man with a rounded back and head tilted forward: Suggests kyphosis, which can occur with aging but is usually linked to osteoporosis or vertebral fractures, not considered an inevitable, expected change.
C. Close-up of nose with a reddish-purple spot (possible bruise): Might result from trauma, coagulopathy, or medication side effects like anticoagulants, not a routine age-related change.
D. Hands with prominent veins, thin skin, and wrinkles: Thinning skin due to decreased subcutaneous fat. Wrinkles from reduced skin elasticity. Prominent veins due to loss of skin turgor and connective tissue. These are all normal physical findings in older adults.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "Why do you think you are dying?" This question can sound confrontational and may cause the client to feel defensive. It does not acknowledge the client’s feelings or encourage further communication about their concerns.
B. "I think you should have some quiet time to get some rest." While rest is important, this response dismisses the client’s emotional expression and does not address their fear or need for support regarding dying.
C. "You are concerned that you are dying?" This statement reflects the client’s feelings and encourages them to share more about their fears and concerns. It validates their emotions and opens a supportive dialogue.
D. "It is normal to feel this way with your type of cancer." Although normalizing feelings can be helpful, this response might minimize the client’s personal experience and does not directly explore their expressed worry about dying.
Correct Answer is C
Explanation
A. Overweight: A body mass index (BMI) between 25 and 29.9 is classified as overweight. Since the client’s BMI is 32, this category does not apply.
B. Underweight: A BMI less than 18.5 is considered underweight. The client’s BMI of 32 is well above this range, ruling out this classification.
C. Obesity class I: A BMI between 30 and 34.9 falls into obesity class I. The client’s BMI of 32 fits into this category, indicating a level of obesity that increases the risk for chronic health conditions.
D. Normal weight: Normal weight is defined as a BMI between 18.5 and 24.9. Since the client’s BMI exceeds this range, this classification is not appropriate.
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