A nurse is reinforcing teaching about the aging process with an older adult client. Which of the following Information should the nurse Include?

A majority of older adults have dementia.

Most older adults are isolated from family and friends.

There is an increased rate of depression in older adults.

Older adults have decreased interest in sexual activity.

Answer and Explanation

The Correct Answer is C

A. A majority of older adults have dementia: Dementia is not a normal part of aging and does not affect the majority of older adults. While the risk of cognitive impairment increases with age, most older adults maintain functional cognitive abilities. Presenting dementia as typical aging reinforces misconceptions and stigma.

B. Most older adults are isolated from family and friends: Although some older adults experience social isolation, many maintain active relationships with family, friends, and community groups. Social engagement varies widely and is influenced by health status, mobility, and support systems rather than age alone.

C. There is an increased rate of depression in older adults: Older adults may have an increased risk for depression due to factors such as chronic illness, bereavement, reduced independence, and social role changes. Depression in this population is often underdiagnosed because symptoms may overlap with medical conditions.

D. Older adults have decreased interest in sexual activity: Sexual interest and activity can continue throughout the lifespan. While physiologic changes may alter sexual response, desire does not universally decline with age. Many older adults remain sexually active and value intimacy.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Negative urine ketones: Diabetic ketoacidosis (DKA) is characterized by increased production of ketone bodies due to insulin deficiency and enhanced lipolysis. Ketones accumulate in the blood and spill into the urine, producing positive urine ketone results. The absence of urine ketones does not support the presence of ketoacidosis, as ketosis is a defining metabolic feature.

B. Kussmaul respirations: Kussmaul respirations are deep, rapid breathing patterns that occur as a compensatory response to metabolic acidosis. In DKA, excess ketone production leads to accumulation of hydrogen ions and decreased serum bicarbonate. The respiratory system compensates by increasing ventilation to eliminate carbon dioxide.

C. Hypoglycemia: DKA is associated with hyperglycemia due to insufficient insulin, which prevents glucose from entering cells and leads to elevated serum glucose levels. Hypoglycemia involves low blood glucose and does not trigger the ketone overproduction seen in DKA. The pathophysiology of DKA centers on insulin deficiency and high circulating glucose.

D. Hypertension: Clients with DKA often experience osmotic diuresis from severe hyperglycemia, leading to dehydration and volume depletion. This intravascular fluid loss more commonly results in hypotension rather than elevated blood pressure. The hemodynamic changes in DKA are primarily related to dehydration and electrolyte imbalance.

A. "Maintain your elbow flexed at a 90-degree angle." B. "Кеер the cane on the stronger side of the body." C. "Place the cane forward 5 to 10 cm (2 to 4 in)." D. "Move the stronger leg forward first."

Correct Answer is B

Explanation

A. "Maintain your elbow flexed at a 90-degree angle.": When fitted properly, a cane should allow for slight elbow flexion of about 20 to 30 degrees, not 90 degrees. Excessive flexion increases upper extremity fatigue and reduces mechanical advantage, making ambulation less efficient and potentially increasing joint strain.

B. "Keep the cane on the stronger side of the body.": A cane is held on the stronger side to widen the base of support and reduce weight-bearing stress on the weaker or more painful limb. This positioning promotes a more natural gait pattern and decreases joint loading on the affected side, which is especially important in rheumatoid arthritis.

C. "Place the cane forward 5 to 10 cm (2 to 4 in).": The cane is typically advanced approximately 15 to 25 cm (6 to 10 in) forward in coordination with the weaker leg. Advancing it only 2 to 4 inches does not provide adequate forward support or stability during the gait cycle.

D. "Move the stronger leg forward first.": The correct sequence is to move the cane and the weaker leg forward together, followed by advancing the stronger leg. Moving the stronger leg first would shift weight onto the weaker extremity without support, increasing discomfort and fall risk.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is reinforcing teaching about the aging process with an older adult client. Which of the following Information should the nurse Include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has diabetes mellitus. Which of the following findings indicates that the client might be experiencing diabetic ketoacidosis?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client who has rheumatoid arthritis and is using a straight-legged cane for ambulation. Which of the following instructions should the nurse include?

Correct Answer is B

Explanation

A nurse is preparing to administer required immunizations to a toddler during a well-child visit. The parent asks the nurse how many baby aspirins he should administer if the toddler develops a fever. Which of the following responses should the nurse make?

A nurse on a mental health unit is discussing client rights with a group of coworkers. Which of the following statements should the nurse include?

A nurse is assisting with planning care for a newborn who is experiencing neonatal abstinence syndrome. Which of the following findings should the nurse expect?

A newly hired nurse is attending an in-service about fire safety. Which of the following actions should the nurse take first in the event of a fire?

A nurse is assisting in the preparation of an in-service for a group of unit nurses about ethical principles. Which of the following nursing actions should the nurse include as an example of fidelity?

A nurse is preparing to administer purified protein derivative (PPD) to a client. The nurse should use which of the following routes?

A nurse is caring for a postoperative client and obtains a pulse oximeter reading of 89%. Which of the following interventions should the nurse take first?

A nurse is caring for a client who recently had a stroke and states, "I am having trouble swallowing my food." To which of the following members of the interprofessional team should the nurse initiate a referral?