A nurse is reinforcing teaching with a group of adult clients about health promotion and maintenance. The nurse should remind the clients that which of the following screenings should be performed beginning at age 50?

Testicular examination

Colonoscopy

Clinical breast examination

Fasting blood glucose

Answer and Explanation

The Correct Answer is B

A. Testicular examination: Testicular cancer screening is typically encouraged from adolescence to around age 35, as it is more common in younger men. Routine testicular exams are not specifically recommended starting at age 50.

B. Colonoscopy: Colorectal cancer screening, such as colonoscopy, should begin at age 45 or 50 for individuals at average risk. It is a key preventive measure for detecting colorectal cancer in its early stages.

C. Clinical breast examination: Clinical breast exams may be done earlier, typically starting in the 20s or 30s, depending on risk factors. They are not newly initiated at age 50.

D. Fasting blood glucose: Screening for diabetes may begin as early as age 35 in adults with risk factors. It is important but not specifically recommended as a new screening starting at age 50.

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Correct Answer is D

Explanation

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.

A. Ask the assistive personnel to document the client's time of death. B. Wear sterile gloves when cleaning the client's body. C. Place an identification tag on the outside of the client's shroud. D. Remove the client's dentures and give them to the client's family.

Correct Answer is C

Explanation

A. Ask the assistive personnel to document the client's time of death: Documenting the time of death is a critical nursing responsibility and should be done by the nurse or healthcare provider, not delegated to assistive personnel. Accurate documentation is essential for legal and medical records, especially when an autopsy is planned.

B. Wear sterile gloves when cleaning the client's body: Sterile gloves are not necessary for routine postmortem care; clean gloves are sufficient. Sterile gloves are reserved for invasive procedures to prevent infection, whereas postmortem care focuses on hygiene and respect for the deceased.

C. Place an identification tag on the outside of the client's shroud: Proper identification of the deceased is crucial, especially when an autopsy is required. Placing an identification tag on the shroud ensures correct identification during transport and handling, preventing misidentification and maintaining respect for the client.

D. Remove the client's dentures and give them to the client's family: Dentures should typically remain in the client's mouth during postmortem care to preserve facial structure and appearance. Removing them can alter the deceased’s appearance, which may be distressing to the family and is generally avoided unless specifically requested.

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A nurse is reinforcing teaching with a group of adult clients about health promotion and maintenance. The nurse should remind the clients that which of the following screenings should be performed beginning at age 50?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

A nurse is planning to provide postmortem care for a client who requires an autopsy. Which of the following actions should the nurse plan to take?

Correct Answer is C

Explanation

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