A nurse is caring for a client who expresses concern about weight gain with age. The nurse should inform the client that weight gain with age can result from which of the following factors?

Increase in protein requirements

Increase in fluid requirements

Decrease in vitamin intake

Decrease in muscle mass

Answer and Explanation

The Correct Answer is D

A. Increase in protein requirements: Protein needs may slightly increase with age to maintain muscle mass, but this does not directly cause weight gain. Instead, inadequate protein may contribute to muscle loss.

B. Increase in fluid requirements: Older adults typically have decreased thirst sensation, not increased fluid needs. Weight gain is not directly linked to hydration needs but more to energy balance.

C. Decrease in vitamin intake: While older adults may have reduced vitamin intake due to dietary changes, this affects micronutrient status rather than causing significant weight gain.

D. Decrease in muscle mass: Sarcopenia, the loss of muscle mass with aging, lowers basal metabolic rate. This decreases calorie expenditure, making it easier to gain weight even with unchanged food intake.

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Correct Answer is D

Explanation

A. The stoma protrudes slightly from the abdomen: A stoma that protrudes slightly (about 1–2 cm) above the skin surface is normal and indicates healthy placement. This finding does not require reporting.

B. The stoma bleeds lightly when touched: Light bleeding with gentle palpation or cleaning is common due to the stoma’s rich blood supply and is generally not concerning unless bleeding is excessive.

C. The stoma is draining a small amount of liquid stool: Liquid stool drainage is expected from a colostomy, especially in the early postoperative period. This is a normal finding that does not require reporting.

D. The stoma appears dark in color: A dark, dusky, or black stoma indicates compromised blood flow and possible ischemia or necrosis. This is a serious finding that requires immediate reporting to prevent further complications.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"E"}

Explanation

Target 1: Paralytic ileus

The client is 6 hours postoperative with hypoactive bowel sounds and no mention of flatus or stool. The use of IV opioids (morphine) increases the risk for reduced gastrointestinal motility. Paralytic ileus is common after abdominal surgery and with opioid use.

Target 2: Atelectasis

The client has shallow bilateral breath sounds postoperatively, which indicates a risk for atelectasis, a common complication due to decreased mobility, pain limiting deep breathing, and effects of anesthesia.

Rationale for Incorrect Choices:

Urinary tract infection: The client voided 350 mL of clear yellow urine after catheter removal with no signs of infection.
Delayed wound healing: No signs of infection or poor wound healing; the dressing is dry and intact.
Deep vein thrombosis: Though a risk postoperatively, the client is wearing SCDs and has even pedal pulses with no edema, lowering immediate concern.

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A nurse is caring for a client who expresses concern about weight gain with age. The nurse should inform the client that weight gain with age can result from which of the following factors?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is 2 days postoperative following the placement of a colostomy. Which of the following findings should the nurse report to the provider?

Correct Answer is D

Explanation

A nurse is assisting with the care of a client in a medical-surgical unit. Exhibits Drag words from the choices below to fill in each blank in the following sentence. The client is most at risk of developing dropdown and dropdown. ​​​​​​

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"E"}

Explanation

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