A nurse is caring for an older adult client who reports feeling cold most of the time.
The nurse knows that this is most likely due to which of the following physiological changes with aging?
Decreased metabolic rate
Increased blood pressure
Increased sweat gland activity.
Decreased body fat.
The Correct Answer is A
The correct answer is A.
Decreased metabolic rate. This is because the metabolic rate is the amount of energy that the body uses to maintain its functions, and it tends to decline with age due to various factors, such as loss of muscle mass, reduced activity, hormonal changes, and decreased thyroid function.
A lower metabolic rate means that the body produces less heat and therefore feels colder more easily.
Choice B is wrong because increased blood pressure is not a normal physiological change with aging, but rather a risk factor for cardiovascular diseases that can be influenced by lifestyle, genetics, and other factors.
Choice C is wrong because increased sweat gland activity is not a normal physiological change with aging, but rather a sign of hyperhidrosis, which is a condition that causes excessive sweating due to overactive sweat glands. Sweat glands actually decrease in number and function with age, which can impair thermoregulation and increase the risk of heat-related illnesses.
Choice D is wrong because decreased body fat is not a normal physiological change with aging, but rather a result of malnutrition, illness, or other causes. Body fat actually tends to increase with age, especially in the abdominal region, due to hormonal changes, reduced physical activity, and lower metabolic rate.
Body fat can act as an insulator and help maintain body temperature.
Normal ranges for metabolic rate vary depending on age, sex, body size, activity level, and other factors.
A general estimate for resting metabolic rate (RMR) is 10 calories per kilogram of body weight per day for men and 9 calories per kilogram of body weight per day for women.
However, this may not reflect the actual metabolic rate of an individual, as it does not account for the effects of food intake, exercise, or environmental factors.
Therefore, it is better to measure metabolic rate using indirect calorimetry or other methods that can capture these variables.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
The correct answer isA, B, C, D and E.
All of these statements are true and should be included in the nurse’s education.
Physical activity and exercise have many benefits for older adults with depression, such as:.
• Increasing the levels ofserotonin and endorphins, which are natural mood boosters that can help reduce depression symptoms.
• Improvingcardiovascular health, muscle strength, balance and flexibility, which can prevent or delay chronic diseases, reduce the risk of falls and injuries, and enhance functional ability.
• Reducingstress, anxiety, pain and inflammation, which can worsen depression and affect physical health.
• Enhancingself-esteem, confidence and sense of accomplishment, which can improve self-image, social interaction and coping skills.
• Helping tosleep better at night and feel more refreshed in the morning, which can improve mood, energy and cognitive function.
Choice A is correct because physical activity and exercise can increase the levels of serotonin and endorphins, which are natural mood boosters that can help reduce depression symptoms.
Choice B is correct because physical activity and exercise can improve cardiovascular health, muscle strength, balance and flexibility, which can prevent or delay chronic diseases, reduce the risk of falls and injuries, and enhance functional ability.
Choice C is correct because physical activity and exercise can reduce stress, anxiety, pain and inflammation.
A. Physical activity and exercise can increase your levels of serotonin and endorphins, which are natural mood boosters B.
Physical activity and exercise can improve your cardiovascular health, muscle strength, balance and flexibility C.
Physical activity and exercise can reduce your stress, anxiety, pain and inflammation D.
Physical activity and exercise can enhance your self-esteem, confidence and sense of accomplishment E.
Physical activity and exercise can help you sleep better at night and feel more refreshed in the morning
Correct Answer is B
Explanation
The correct answer is B.
It is caused by a hormonal imbalance that stimulates the growth of prostate tissue.
• Choice A is wrong because BPH is not caused by an infection of the prostate gland.Prostate infections are called prostatitis and have different symptoms and treatments than BPH.
• Choice C is wrong because BPH is not caused by a genetic mutation that triggers abnormal cell division in the prostate.Prostate cancer is a malignant condition that involves uncontrolled cell growth in the prostate, but it is not the same as BPH.
• Choice D is wrong because BPH is not caused by an autoimmune disorder that attacks and damages the prostate tissue.Autoimmune disorders are conditions where the immune system mistakenly attacks healthy cells in the body, but they are not known to cause BPH.
The exact cause of BPH is unknown, but it is believed to be related to aging and hormonal changes in older men.The prostate gland grows throughout a man’s life, but it usually does not cause problems until later in life.Some factors that may increase the risk of BPH include family history, diabetes, heart problems, obesity, and prostate cancer.
BPH can cause symptoms such as difficulty urinating, frequent or urgent urination, weak or interrupted urine stream, dribbling at the end of urination, incomplete bladder emptying, nocturia (urination at night), urinary incontinence (leakage of urine), urinary retention (inability to urinate), blood in urine, and painful urination.These symptoms can affect the quality of life and lead to complications such as urinary tract infections, bladder stones, bladder damage, kidney problems, and acute urinary retention.
BPH can be diagnosed by a physical exam, medical history, and various tests such as urinalysis, urodynamic test, prostate-specific antigen (PSA) test, post-void residual test, and cystoscopy.
The treatment options depend on the severity of symptoms, the size of the prostate, and other health conditions.They include medications, surgery, and other procedures such as laser therapy or microwave therapy.Some natural treatments such as lifestyle changes, dietary supplements, and herbal remedies may also help with mild symptoms of BPH.
Normal ranges for some tests related to BPH are:.
• PSA test: The normal range for PSA levels is 0 to 4 nanograms per milliliter (ng/mL) of blood.
However, this range may vary depending on age, race, and other factors.Higher PSA levels may indicate prostate cancer or other prostate problems such as BPH or prostatitis.
• Post-void residual test: The normal range for post-void residual volume is less than 50 milliliters (mL) of urine.Higher volumes may indicate urinary retention or bladder dysfunction due to BPH or other causes.
• Urodynamic test: The normal range for urodynamic parameters such as bladder pressure, urine flow rate, and bladder capacity may vary depending on age, gender, and other factors.Abnormal values may indicate bladder obstruction or dysfunction due to BPH or other causes.
References:.
:What is Benign prostatic hyperplasia and its possible symptoms ….
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