The nurse is assessing an older adult patient during a regular office visit. The patient reports several symptoms. Which of the following symptoms are not related to the aging process and require further investigation?

Decrease in muscle mass and strength

Lower back and neck pain

Wrinkling and sagging skin

Joint stiffness in fingers

Answer and Explanation

The Correct Answer is D

A. Decrease in muscle mass and strength: A decrease in muscle mass and strength is common with aging, known as sarcopenia. While it should be monitored, it is not necessarily an abnormal finding requiring further investigation unless it is severe or sudden.

B. Lower back and neck pain: Lower back and neck pain can be common with aging due to degenerative changes in the spine or other musculoskeletal issues. However, persistent or severe pain should be evaluated to rule out other causes.

C. Wrinkling and sagging skin: Wrinkling and sagging skin are normal aging changes related to decreased collagen and elastin in the skin. These changes are generally expected with aging.

D. Joint stiffness in fingers: Joint stiffness can be related to aging but may also indicate conditions like arthritis. If the stiffness is significant, persistent, or accompanied by other symptoms, it requires further investigation.

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Correct Answer is ["B","C","D","E"]

Explanation

A. Immunization record: While important for overall health, the immunization record is less directly related to current activity levels and exercise.

B. Daily activity level: This provides important information about the patient's current physical activity, which is relevant for assessing overall health and mobility.

C. Patient's response after the activity or exercise: Understanding how the patient responds after activity helps assess the impact of exercise on their health and mobility.

D. Problems with mobility or exercise: Identifying any problems with mobility or exercise helps in tailoring the patient’s activity plan and addressing any issues related to physical function.

E. External factors affecting mobility: External factors, such as environmental barriers or equipment, can significantly impact the patient’s mobility and should be considered in the assessment.

A. Scrub the stem of the ampule with antimicrobial wipe. B. Break the stem of the ampule away from the body C. Attach a filter needle to the syringe. D. Tap the stem of the ampule. E. Wrap the stem of the ampule with a sterile gauze pad.

Correct Answer is ["B","C","E"]

Explanation

A. Scrub the stem of the ampule with an antimicrobial wipe. This is not necessary because the stem of the ampule is broken and is not typically touched with hands or contaminated. The main concern is to prevent any glass from falling into the medication.

B. Break the stem of the ampule away from the body. Breaking the stem away from the body helps to prevent any shards of glass from falling into the medication or causing injury.

C. Attach a filter needle to the syringe. A filter needle is used to prevent any glass particles from entering the syringe when drawing up the medication from an ampule.

D. Tap the stem of the ampule. Tapping the stem may help remove any bubbles but is not a standard practice in ampule preparation.

E. Wrap the stem of the ampule with a sterile gauze pad. Wrapping the stem with a sterile gauze pad provides protection from glass shards and helps prevent injury when breaking the ampule.

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The nurse is assessing an older adult patient during a regular office visit. The patient reports several symptoms. Which of the following symptoms are not related to the aging process and require further investigation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is obtaining a history from a patient reference activity. Which of the following should be included? Select all that apply.

Correct Answer is ["B","C","D","E"]

Explanation

The nurse is preparing a prescribed medication for a client from an ampule. Which of the following actions should the nurse take? Select all that apply.

Correct Answer is ["B","C","E"]

Explanation

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