During a community screening event for bone density, an elderly client asked the nurse why she is an inch shorter in height. Which of the following responses by the nurse is correct?
"With aging, a large amount of subcutaneous fat is lost, which gives the appearance of decreased height."
"With aging, the spine is not as flexible, which doesn't permit the individual to stand as tall."
"With aging, the cartilage between the bones in the spine gets worn down, which causes decreased height."
"With aging, thickening of the intervertebral disks occurs, which causes pressure breakdown of the spinal vertebrae."
The Correct Answer is C
A. Loss of subcutaneous fat might contribute to changes in appearance but is not primarily responsible for the decrease in height with aging.
B. Reduced spinal flexibility may contribute to posture changes but doesn’t sufficiently explain the decrease in height.
C. With aging, the intervertebral discs and cartilage between spinal bones wear down, leading to a decrease in height due to changes in the spine's structure.
D. Thickening of intervertebral discs is not a typical occurrence with aging and does not explain the decrease in height.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Reassurance is important, but it should be given after a thorough assessment and appropriate actions have been taken.
B. Completing an assessment and promptly informing the physician allows for timely intervention in case of testicular torsion or other serious conditions causing severe testicular pain.
C. Performing a focused assessment is crucial but shouldn't delay immediate notification of the physician in such a critical situation.
D. Documenting pain assessment is important but not the priority when a client presents with severe, acute pain in a sensitive area like the testicles.
Correct Answer is B
Explanation
A. A bone spur is a bony projection often caused by joint damage, but it does not typically produce audible crunching or grating sounds.
B. Crepitation refers to a crunching, grating, or popping sound or sensation that occurs with movement of a joint. It's often associated with conditions like osteoarthritis.
C. Tendonitis involves inflammation of a tendon and may cause pain or tenderness, but it does not typically produce audible sounds like crepitation.
D. Fluid in the knee joint might cause swelling and limited movement, but it does not usually produce audible crunching or grating sounds.
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