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 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.

A. Carotid pulse B. Brachial pulse C. Posterior tibialis D. Femoral pulse

Correct Answer is C

Explanation

A: This is not suitable for assessing circulation issues specifically in the lower extremities as it is located on the upper body.

B: This is not suitable for assessing circulation issues specifically in the lower extremities as it is located on the upper body.
C: Palpating the posterior tibialis pulse is a logical next step for checking lower extremity circulation, particularly when dorsalis pedis is not palpable, helping localize the evaluation of blood flow in the foot and ankle.
D: The femoral pulse is useful for broader leg circulation issues. However, it is less targeted than posterior tibialis for checking blood flow in the lower extremities.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When performing a thorough physical assessment on a patient, the licensed practical nurse (LPN) begins collecting primary data. An example of primary data is that

Correct Answer is B

Explanation

A nurse is unable to palpate a client's dorsalis pedis pulse. The nurse will next attempt to palpate the

Correct Answer is C

Explanation

A nurse is collecting data on a client to check for orthostatic hypotension. Which of the following actions should the nurse take first?

A nurse is assisting with teaching a class about documenting blood pressure. The nurse should include to document which of the following information?

A nurse is preparing to obtain an electronic blood pressure measurement on a client. Which of the following actions should the nurse plan to take?

A nurse is performing an admission assessment on a patient. When collecting objective and subjective data, the nurse identifies subjective data as

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

A nurse is caring for a client who has an oral temperature of 39.5°C (103.1°F). Which of the following actions should the nurse take?

During auscultation, the nurse hears fine rales in the patient's lower lobes bilaterally. Fine rales are described as

A nurse is collecting data on a client who reports acute pain at a level of 7 on a scale of 0 to 10. Which of the following findings should the nurse expect?