A nurse is assisting in preparing a presentation at a senior center about age-related musculoskeletal changes. Which of the following alterations is appropriate for the nurse to include?

Thickened vertebral disks

Increased force of isometric contractions

Decreased chest width

Decreased muscle mass

Answer and Explanation

The Correct Answer is D

A. Thickened vertebral disks: Aging leads to thinning of intervertebral disks, which contributes to a decrease in height and spinal flexibility.

B. Increased force of isometric contractions: Aging results in decreased muscle strength, not increased force of contractions.

C. Decreased chest width: Aging can lead to a barrel chest appearance due to changes in the thoracic cage, rather than a decrease in width.

D. Decreased muscle mass: Sarcopenia, or the loss of muscle mass with aging, is a common musculoskeletal change that contributes to reduced strength and function.

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

Explanation

A. Assess respiratory rate and rhythm. Changes in breathing pattern may indicate hypoxia, respiratory distress, or metabolic acidosis.

B. Pulse oximetry reading. Measures oxygen saturation, which is critical in assessing oxygenation and ventilation status.

C. Assess bowel sounds. While anxiety and stress can affect the gastrointestinal system, bowel sounds are not directly relevant in this situation.

D. Auscultate lung sounds. Important for identifying wheezing, crackles, or diminished breath sounds, which may indicate bronchospasm, fluid overload, or airway obstruction.

E. Determine two-point discrimination in the lower extremities. This test assesses neurological function, which is not a priority in a client presenting with respiratory distress and anxiety.

A. Prior to inspecting the abdomen B. After checking for kidney tenderness C. After palpating the abdomen D. Prior to palpating the abdomen

Correct Answer is D

Explanation

A. Prior to inspecting the abdomen. The correct order of abdominal assessment is inspection → auscultation → percussion → palpation to avoid altering bowel sounds.

B. After checking for kidney tenderness. Assessing kidney tenderness is done through percussion, which should be performed after auscultation.

C. After palpating the abdomen. Palpation can stimulate bowel activity, potentially leading to false findings during auscultation.

D. Prior to palpating the abdomen. Auscultation should be done before palpation to prevent artificially altering bowel sounds.

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A nurse is assisting in preparing a presentation at a senior center about age-related musculoskeletal changes. Which of the following alterations is appropriate for the nurse to include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client presents with complaints of anxiety, restlessness, and increased work of breathing. Which assessments should the nurse perform? (Select all that Apply)

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

Explanation

A nurse is checking a client's bowel sounds. At which of the following times should the nurse auscultate the client's abdomen?

Correct Answer is D

Explanation

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