During the physical assessment, the nurse asks an elderly female patient if she experiences constipation. The nurse knows that

It is common for intestinal peristalsis to slow down as a person ages, causing problems with constipation.

Aging patients always have difficulty having a bowel movement while hospitalized

Elderly patients almost always abuse laxatives, which creates problems with constipation.

In elderly patients, the rectal sphincter has lost elasticity, which decreases the sensation of urgency.

Answer and Explanation

The Correct Answer is A

A: Due to age-related reductions in gastrointestinal muscle efficiency, which slows the digestive process and can lead to increased water absorption from stool.
B: Overstates the issue, not all elderly patients experience difficulties, and it does not account for individual variability or other influencing factors like diet and medication.
C: Misrepresents the frequency and reasons for laxative use among the elderly, not all of whom misuse these medications.
D: While changes in rectal sphincter elasticity can affect some elderly individuals, it is less commonly a direct cause of constipation compared to decreased peristalsis.

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Correct Answer is D

Explanation

A: The cuff should ideally cover about 80% of the circumference of the upper arm, not just 50%.

B: The cuff should be placed level with the client's heart, specifically aligned with the brachial artery for accurate measurement.
C: Elevating the arm above the level of the heart can lead to an inaccurately low reading.
D: Proper alignment with the brachial artery ensures that the sensor correctly detects the arterial pressure, crucial for accurate readings.

A. The patient's daughter appears anxious about the patient's hospitalization. B. The patient reports a history of chronic obstructive pulmonary disease. C. The patient's spouse reports the patient has difficulty sleeping. D. The patient's caregiver complains of feeling overwhelmed.

Correct Answer is B

Explanation

A: The daughter's anxiety is secondary information and not directly related to the patient's health status.
B: The patient's self-reported medical history is primary data as it comes directly from the patient and provides essential information for the assessment.
C: The spouse's report of the patient's difficulty sleeping is secondary information and not directly observed or reported by the patient.
D: The caregiver's complaint is secondary information and does not provide direct insight into the patient's health status.

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During the physical assessment, the nurse asks an elderly female patient if she experiences constipation. The nurse knows that

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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During the physical assessment, the nurse asks an elderly female patient if she experiences constipation. The nurse knows that

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