The nurse is performing a neurological assessment on the older adult. An expected finding is that:

Older adults are more likely to lose short-term memory first

Older adults have increased reflexes

Older adults have increased fine motor movement

Older adults are more likely to lose long-term memory first

Answer and Explanation

The Correct Answer is A

Choice A reason: Older adults commonly experience a decline in short-term memory as part of the normal aging process. This can make it more difficult to recall recent events or information.

Choice B reason: Older adults typically have decreased, not increased, reflexes due to changes in the nervous system.

Choice C reason: Older adults often experience a decline in fine motor movement, rather than an increase. Age-related changes can affect dexterity and coordination.

Choice D reason: Long-term memory is generally preserved longer in older adults compared to short-term memory. Older adults are more likely to have difficulties with recent memories.

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Correct Answer is A

Explanation

Choice A reason: Atropine is an anticholinergic medication that blocks the effects of the parasympathetic nervous system. One of its effects is relaxation of the smooth muscles in the bladder, which can lead to urinary retention. This occurs because the bladder's ability to contract is inhibited, making it difficult for the patient to void.

Choice B reason: Bradycardia is not an expected effect of atropine. In fact, atropine is often used to treat bradycardia by increasing heart rate. It works by blocking the vagus nerve's influence on the heart, which normally acts to slow the heart rate. Therefore, atropine would be expected to cause an increase in heart rate, not a decrease.

Choice C reason: Diarrhea is not a common effect of atropine. Atropine works by reducing the activity of the gastrointestinal tract, leading to a decrease in bowel movements and potentially causing constipation rather than diarrhea. Anticholinergic drugs like atropine reduce gastrointestinal motility, which can lead to a slower passage of food through the intestines.

Choice D reason: Vomiting is not typically associated with the administration of atropine. While nausea and vomiting can be side effects of many medications, atropine more commonly causes dry mouth, blurred vision, and constipation. The medication's action on the gastrointestinal tract tends to slow digestive processes rather than stimulate vomiting.

A. "Yes, that's why you are hospitalized." B. "Yes, but it will never happen again." C. "No, but it is necessary to monitor, control, and eliminate your chest pain." D. "No, it is normal to feel chest pain."

Correct Answer is C

Explanation

Choice A reason: Telling the client that they are hospitalized due to a heart attack when it is not the case can cause unnecessary anxiety and fear. It is important to provide accurate information and reassurance.

Choice B reason: Stating that it will never happen again is unrealistic and provides false reassurance. It is important to focus on managing the client's condition and reducing the risk of future episodes.

Choice C reason: Explaining that the client did not have a heart attack but emphasizing the importance of monitoring and managing chest pain provides accurate information and reassurance. It helps reduce the client's anxiety and provides a clear plan of action.

Choice D reason: Saying it is normal to feel chest pain without further explanation can cause confusion and anxiety. It is important to clarify that chest pain needs to be monitored and managed to prevent complications.

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The nurse is performing a neurological assessment on the older adult. An expected finding is that:

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Naxlex Comprehensive Predictor Exams

A client received atropine intraoperatively for symptomatic sinus bradycardia during a cardiac catheterization. In the immediate postoperative period, the nurse monitors the client for which effects of the medication?

Correct Answer is A

Explanation

A client diagnosed with angina pectoris appears to be very anxious and states, "So I had a heart attack, right?" Which response should the nurse make to the client?

Correct Answer is C

Explanation

The nurse is performing a neurological assessment on the older adult. An expected finding is that:

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