While performing a neurologic assessment of the older adult patient, the nurse needs to consider which age-related changes?

Reaction time is slower

Pain sensation is heightened

Higher basal body temperature

Confusion is to be expected

Answer and Explanation

The Correct Answer is A

A. Reaction time is slower in older adults due to changes in the central nervous system and decreased neuronal processing speed, which can impact their overall response to stimuli.
B. Pain sensation is not typically heightened in older adults; rather, they may experience a decreased sensitivity to pain due to changes in the nervous system.
C. Higher basal body temperature is generally not associated with aging; older adults often have a lower baseline temperature.
D. While confusion can occur in older adults, it is not considered a normal age-related change and should be further evaluated for underlying causes rather than being expected.

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Correct Answer is C

Explanation

A. Applying pressure to injection sites helps reduce bleeding but does not directly prevent tumor lysis syndrome.
B. Monitoring telemetry is important for patients with potential cardiac issues but is not specifically related to preventing complications from tumor lysis syndrome.
C. Ensuring a high fluid intake of 3000 to 5000 mL/day helps dilute electrolytes and reduce the risk of acute kidney injury and other complications associated with tumor lysis syndrome, making this the most crucial intervention.
D. Assisting the client in ambulatory activities may support their overall well-being but does not address the prevention of tumor lysis syndrome.

A. Wash skin with water and apply scented lotion if skin becomes dry and itchy B. Skin treatment markings are to remain intact for the duration of treatment C. Limit time with others while at home to decrease radiation exposure to others D. Skin damage is expected and does not require notification to the radiologist or physician

Correct Answer is B

Explanation

A. Washing the skin with water is generally acceptable, but applying scented lotion is not recommended as it may irritate the skin or interfere with treatment; only specific products as advised by the healthcare provider should be used.
B. Skin treatment markings are important for ensuring correct targeting of radiation during therapy and should remain intact for the duration of treatment to avoid misalignment.
C. While some precautions may be necessary, limiting time with others at home is not typically a requirement for external radiation, as it does not make the client radioactive.
D. Skin damage can occur from radiation treatment, and any changes should be reported to the healthcare provider, as monitoring and managing side effects is important for the patient's overall care.

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While performing a neurologic assessment of the older adult patient, the nurse needs to consider which age-related changes?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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