Which physiological change should a nurse expect to observe when assessing an elderly client?

Diminished attention span.

Decreased sensory acuity.

Increased need for rest.

Enhanced intestinal motility.

Answer and Explanation

The Correct Answer is B

Decreased sensory acuity. This is a physiological change that occurs in elderly people due to the reduced function of the sensory organs, such as the eyes, ears, nose, tongue, and skin. Elderly people may experience impaired vision, hearing loss, reduced smell and taste, and decreased touch sensitivity.

Choice A is wrong because diminished attention span is not a normal physiological change in elderly people. It may be a sign of cognitive impairment or dementia.

Choice C is wrong because the increased need for rest is not a normal physiological change in elderly people. It may be a sign of fatigue, depression, or medical conditions.

Choice D is wrong because enhanced intestinal motility is not a normal physiological change in elderly people. It may be a sign of gastrointestinal disorders or infections.

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Correct Answer is A

Explanation

This is because coughing can indicate aspiration of the feeding into the lungs, which can lead to pneumonia and other serious complications. Aspiration is reported in up to 89% of patients receiving nasogastric tube feeding.

Therefore, the nurse should prioritize assessing the client for signs of aspiration and ensuring proper tube placement.

Choice B is wrong because mild abdominal cramps are a common side effect of nasogastric tube feeding and do not require immediate intervention unless they are severe or persistent.

Choice C is wrong because high-pitched bowel sounds are normal and indicate peristalsis and digestion.

They do not indicate a problem with the tube feeding.

Choice D is wrong because one to two soft bowel movements per day are desirable and indicate adequate nutrition and hydration.

They do not indicate a problem with the tube feeding.

Normal ranges for gastric residual volume are less than 200 mL for adults and less than 100 mL for children. Normal ranges for pH of gastric aspirate are 1 to 5.

A. The client consumes 3 glasses of wine after a stressful day at work. B. The client practices meditation for 20 minutes once a day. C. The client keeps all unresolved conflict to themselves. D. The client consumes a half gallon of ice cream after an argument with a coworker.

Correct Answer is B

Explanation

The client practices meditation for 20 minutes once a day. This is an example of an adaptive coping strategy, which is a cognitive or behavioral effort to manage stressful conditions or associated emotional distress.

Meditation can help reduce tension, enhance relaxation, and promote well-being.

Choice A is wrong because the client consumes 3 glasses of wine after a stressful day at work. This is an example of an avoidance coping strategy, which is an attempt to reduce stress by avoiding dealing directly with the problem.

Alcohol consumption can have negative effects on physical and mental health, and does not address the source of stress.

Choice C is wrong because the client keeps all unresolved conflict to themselves. This is an example of an emotion-focused coping strategy, which is an attempt to regulate the emotional distress caused by a stressor.

However, this strategy can be maladaptive if it involves suppressing or denying emotions, which can lead to increased psychological distress and poor interpersonal relationships.

Choice D is wrong because the client consumes a half gallon of ice cream after an argument with a coworker. This is another example of an avoidance coping strategy, which is an attempt to reduce stress by avoiding dealing directly with the problem.

Ice cream consumption can have negative effects on physical health, such as obesity and diabetes, and does not address the source of stress.

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Which physiological change should a nurse expect to observe when assessing an elderly client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which symptom experienced by a client receiving a continuous enteral feeding via a nasogastric tube requires priority follow-up by the nurse?

Correct Answer is A

Explanation

Which assessment finding is suggestive of an adaptive coping strategy in an individual?

Correct Answer is B

Explanation

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