Eliopoulos Chapter 5- Common Aging Changes Exam Questions With Detailed Answers
0 view 0 purchase
Course
Eliopoulos Chapter 5- Common Aging Changes
Institution
Eliopoulos Chapter 5- Common Aging Changes
Eliopoulos Chapter 5- Common Aging Changes Exam Questions With Detailed Answers
1. During an assessment of an 82-year-old woman, a gerontological nurse learns that the woman has lost over 4 inches in height over the last several years. Which of the following factors have likely contributed to th...
Eliopoulos Chapter 5- Common Aging
Changes Exam Questions With Detailed
Answers
1. During an assessment of an 82-year-old woman, a gerontological nurse learns that
the woman has lost over 4 inches in height over the last several years. Which of the
following factors have likely contributed to this phenomenon? Select all that apply.
A) The woman's overall proportion of body water has decreased.
B) The client has experienced a loss of cartilage.
C) The woman's thyroid hormone levels have declined since the sixth decade.
D) The client's vertebrae have thinned.
E) Loss of stature is a consequence of the woman's diet.
F) The woman's long bones have decreased in length. - Answer-Ans: A, B, D
Feedback:
Reduced hydration, loss of cartilage, and thinning of vertebrae can all contribute to loss
of stature. Decreased levels of TH, shortening of long bones, and diet are not noted to
contribute to this phenomenon.
/.2. A 78-year-old man has received a recent diagnosis of community-acquired
pneumonia. Potential pathological findings on a recent chest x-ray have prompted his
physician to order a bronchoscopy and lung function tests. Which of the following
findings would be most likely suggestive of pathological processes rather than normal,
age-related respiratory changes?
A) The client has fewer cilia than would be found in a younger client.
B) Lung function tests reveal that both maximum breathing and vital capacity are
diminished since his last test.
C) There is an accumulation of serous fluid between the lungs and the pleural
membrane.
D) The lungs are smaller than younger adults' and there are fewer alveoli. - Answer-
Ans: C
Feedback:
While decreases in the number of cilia, alveoli, lung size, and lung capacities are
commonly associated with aging, an accumulation of serous fluid would not be
considered a normal consequence of the aging process.
/.3. An 80-year-old resident of an assisted living facility is proud of the fact that he was
an elite athlete during his younger years. Despite his concerted efforts to remain
physically active and maintain his stamina, he is lamenting his loss of exercise tolerance
in recent years. How can his nurse best respond to these concerns?
, A) "It's inevitable that your heart increases in size as you age, and this is associated
with a loss of cardiac efficiency."
B) "It's normal for your heart to contract less strongly as you age, and this makes you
somewhat less able to exercise vigorously."
C) "As you age, it's common for your heart rate becomes less regular and this often
results in fatigue."
D) "The normal increase in blood pressure that accompanies aging leaves you with less
cardiac reserve capacity than when you were young." - Answer-Ans: B
Feedback:
Cardiac contractility decreases as a part of normal aging. An increase in heart size,
irregular heart rate, and increased blood pressure would be considered pathological
conditions regardless of age.
/.4. Which of the following diagnostic and assessment findings from among the patients
on a geriatric medical unit most warrants further investigation?
A) An 81-year-old woman's glomerular filtration rate (GFR) is low.
B) A 78-year-old male's stomach pH is increased.
C) A 71-year-old male client's echocardiogram reveals slight left ventricular hypertrophy.
D) A 78-year-old man has recently developed urinary incontinence. - Answer-Ans: D
Feedback:
While a decrease in GFR, increase in stomach pH, and slight left ventricular
hypertrophy are considered normal accompaniments to aging, urinary incontinence
should be considered a pathological finding that necessitates further assessment.
/.5. A 66-year-old man has undergone a digital-rectal exam (DRE) during a visit to his
family physician. The exam reveals that the client's prostate has become enlarged since
his last DRE. The most accurate conclusion that his care provider will draw from these
findings is that they suggest:
A) Prostate cancer
B) A risk of malignancy that should be followed up
C) A normal age-related change unlikely to have consequences
D) A urinary tract infection - Answer-Ans: B
Feedback:
Prostatic enlargement is exceedingly common among older men, but represents a risk
of malignancy that necessitates further assessment and follow-up. It is not a definitive
sign of prostate cancer and is not indicative of a urinary tract infection.
/.6. A 74-year-old woman has presented to the emergency department with a suspected
hip fracture following a fall on the sidewalk outside her home. The nurse's assessment
of the client would recognize which of the following factors as most likely contributed to
the suspected injury?
A) Bone remodeling in long bones ceases in the seventh or eighth decade.
B) Bone minerals and mass are reduced as part of the aging process.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller kartelodoc. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.49. You're not tied to anything after your purchase.
