Eliopoulos Chapter 5- Common Aging
Changes Questions And Answers
1. vDuring van vassessment vof van v82-year-old vwoman, va vgerontological vnurse vlearns vthat vthe
vwoman vhas vlost vover v4 vinches vin vheight vover vthe vlast vseveral vyears. vWhich vof vthe vfollowing
vfactors vhave vlikely vcontributed v to vthis vphenomenon? vSelect vall vthat vapply.
A) vThe vwoman's voverall vproportion vof vbody vwater vhas vdecreased.
B) vThe vclient vhas vexperienced va vloss vof vcartilage.
C) vThe vwoman's vthyroid vhormone vlevels vhave vdeclined vsince vthe vsixth vdecade.
D) vThe vclient's vvertebrae vhave vthinned.
E) vLoss vof vstature vis va vconsequence vof vthe vwoman's vdiet.
F) vThe vwoman's vlong vbones vhave vdecreased vin vlength. v- vAnswer v- vAns: vA, vB, vD
vFeedback:
vReduced vhydration, vloss v of vcartilage, vand vthinning vof vvertebrae v can vall vcontribute v to vloss v of
vstature. vDecreased vlevels vof vTH, vshortening vof vlong vbones, vand vdiet vare vnot vnoted vto
vcontribute v to vthis vphenomenon.
2. vA v78-year-old vman vhas vreceived va vrecent vdiagnosis vof vcommunity-acquired vpneumonia.
vPotential vpathological vfindings von va vrecent vchest v x-ray vhave vprompted vhis vphysician vto vorder va
vbronchoscopy vand vlung vfunction vtests. vWhich v of v the vfollowing vfindings vwould vbe vmost vlikely
vsuggestive vof vpathological vprocesses vrather vthan vnormal, vage-related vrespiratory vchanges?
A) vThe vclient vhas vfewer vcilia vthan vwould vbe vfound vin va vyounger vclient.
B) vLung vfunction vtests vreveal vthat vboth vmaximum vbreathing vand vvital vcapacity vare vdiminished
vsince vhis vlast vtest.
C) vThere vis van vaccumulation vof vserous vfluid vbetween vthe vlungs vand vthe vpleural vmembrane.
D) vThe vlungs vare vsmaller vthan vyounger vadults' vand vthere vare vfewer valveoli. v- vAnswer v- vAns: vC
vFeedback:
, vWhile vdecreases vin vthe vnumber vof vcilia, valveoli, vlung vsize, vand vlung v capacities vare vcommonly
vassociated vwith vaging, van vaccumulation vof vserous v fluid vwould vnot vbe vconsidered va vnormal
vconsequence vof vthe vaging vprocess.
3. vAn v80-year-old vresident vof van vassisted vliving vfacility vis vproud vof vthe vfact vthat vhe vwas van
velite vathlete vduring vhis vyounger vyears. vDespite vhis vconcerted vefforts vto vremain vphysically vactive
vand vmaintain vhis vstamina, vhe vis vlamenting vhis vloss vof vexercise vtolerance vin vrecent vyears. vHow
vcan vhis vnurse vbest vrespond vto vthese vconcerns?
A) v"It's vinevitable vthat vyour vheart vincreases vin vsize vas vyou vage, vand vthis vis vassociated vwith va
vloss vof vcardiac vefficiency."
B) v"It's vnormal vfor vyour vheart vto vcontract vless vstrongly vas vyou vage, vand vthis vmakes vyou
vsomewhat vless vable vto vexercise vvigorously."
C) v"As vyou vage, vit's vcommon vfor vyour vheart vrate vbecomes vless vregular vand vthis voften vresults vin
vfatigue."
D) v"The vnormal vincrease vin vblood vpressure vthat vaccompanies vaging vleaves vyou vwith vless vcardiac
vreserve vcapacity vthan vwhen vyou vwere vyoung." v- v Answer v- vAns: vB
vFeedback:
vCardiac vcontractility vdecreases vas va vpart v of vnormal vaging. vAn vincrease vin vheart vsize, virregular
vheart vrate, vand vincreased vblood vpressure vwould vbe vconsidered vpathological vconditions
vregardless vof vage.
4. vWhich vof vthe vfollowing vdiagnostic vand vassessment vfindings vfrom vamong vthe vpatients von va
vgeriatric vmedical vunit vmost vwarrants vfurther vinvestigation?
A) vAn v81-year-old vwoman's vglomerular vfiltration vrate v(GFR) vis vlow.
B) vA v78-year-old vmale's vstomach vpH vis vincreased.
C) vA v71-year-old vmale vclient's vechocardiogram vreveals vslight vleft vventricular vhypertrophy.
D) vA v78-year-old vman vhas vrecently vdeveloped vurinary vincontinence. v- vAnswer v- vAns: vD
vFeedback:
vWhile va vdecrease vin vGFR, vincrease vin vstomach vpH, vand vslight vleft vventricular vhypertrophy vare
vconsidered vnormal vaccompaniments vto vaging, vurinary vincontinence vshould v be vconsidered va
vpathological vfinding vthat vnecessitates vfurther vassessment.
Changes Questions And Answers
1. vDuring van vassessment vof van v82-year-old vwoman, va vgerontological vnurse vlearns vthat vthe
vwoman vhas vlost vover v4 vinches vin vheight vover vthe vlast vseveral vyears. vWhich vof vthe vfollowing
vfactors vhave vlikely vcontributed v to vthis vphenomenon? vSelect vall vthat vapply.
A) vThe vwoman's voverall vproportion vof vbody vwater vhas vdecreased.
B) vThe vclient vhas vexperienced va vloss vof vcartilage.
C) vThe vwoman's vthyroid vhormone vlevels vhave vdeclined vsince vthe vsixth vdecade.
D) vThe vclient's vvertebrae vhave vthinned.
E) vLoss vof vstature vis va vconsequence vof vthe vwoman's vdiet.
F) vThe vwoman's vlong vbones vhave vdecreased vin vlength. v- vAnswer v- vAns: vA, vB, vD
vFeedback:
vReduced vhydration, vloss v of vcartilage, vand vthinning vof vvertebrae v can vall vcontribute v to vloss v of
vstature. vDecreased vlevels vof vTH, vshortening vof vlong vbones, vand vdiet vare vnot vnoted vto
vcontribute v to vthis vphenomenon.
2. vA v78-year-old vman vhas vreceived va vrecent vdiagnosis vof vcommunity-acquired vpneumonia.
vPotential vpathological vfindings von va vrecent vchest v x-ray vhave vprompted vhis vphysician vto vorder va
vbronchoscopy vand vlung vfunction vtests. vWhich v of v the vfollowing vfindings vwould vbe vmost vlikely
vsuggestive vof vpathological vprocesses vrather vthan vnormal, vage-related vrespiratory vchanges?
A) vThe vclient vhas vfewer vcilia vthan vwould vbe vfound vin va vyounger vclient.
B) vLung vfunction vtests vreveal vthat vboth vmaximum vbreathing vand vvital vcapacity vare vdiminished
vsince vhis vlast vtest.
C) vThere vis van vaccumulation vof vserous vfluid vbetween vthe vlungs vand vthe vpleural vmembrane.
D) vThe vlungs vare vsmaller vthan vyounger vadults' vand vthere vare vfewer valveoli. v- vAnswer v- vAns: vC
vFeedback:
, vWhile vdecreases vin vthe vnumber vof vcilia, valveoli, vlung vsize, vand vlung v capacities vare vcommonly
vassociated vwith vaging, van vaccumulation vof vserous v fluid vwould vnot vbe vconsidered va vnormal
vconsequence vof vthe vaging vprocess.
3. vAn v80-year-old vresident vof van vassisted vliving vfacility vis vproud vof vthe vfact vthat vhe vwas van
velite vathlete vduring vhis vyounger vyears. vDespite vhis vconcerted vefforts vto vremain vphysically vactive
vand vmaintain vhis vstamina, vhe vis vlamenting vhis vloss vof vexercise vtolerance vin vrecent vyears. vHow
vcan vhis vnurse vbest vrespond vto vthese vconcerns?
A) v"It's vinevitable vthat vyour vheart vincreases vin vsize vas vyou vage, vand vthis vis vassociated vwith va
vloss vof vcardiac vefficiency."
B) v"It's vnormal vfor vyour vheart vto vcontract vless vstrongly vas vyou vage, vand vthis vmakes vyou
vsomewhat vless vable vto vexercise vvigorously."
C) v"As vyou vage, vit's vcommon vfor vyour vheart vrate vbecomes vless vregular vand vthis voften vresults vin
vfatigue."
D) v"The vnormal vincrease vin vblood vpressure vthat vaccompanies vaging vleaves vyou vwith vless vcardiac
vreserve vcapacity vthan vwhen vyou vwere vyoung." v- v Answer v- vAns: vB
vFeedback:
vCardiac vcontractility vdecreases vas va vpart v of vnormal vaging. vAn vincrease vin vheart vsize, virregular
vheart vrate, vand vincreased vblood vpressure vwould vbe vconsidered vpathological vconditions
vregardless vof vage.
4. vWhich vof vthe vfollowing vdiagnostic vand vassessment vfindings vfrom vamong vthe vpatients von va
vgeriatric vmedical vunit vmost vwarrants vfurther vinvestigation?
A) vAn v81-year-old vwoman's vglomerular vfiltration vrate v(GFR) vis vlow.
B) vA v78-year-old vmale's vstomach vpH vis vincreased.
C) vA v71-year-old vmale vclient's vechocardiogram vreveals vslight vleft vventricular vhypertrophy.
D) vA v78-year-old vman vhas vrecently vdeveloped vurinary vincontinence. v- vAnswer v- vAns: vD
vFeedback:
vWhile va vdecrease vin vGFR, vincrease vin vstomach vpH, vand vslight vleft vventricular vhypertrophy vare
vconsidered vnormal vaccompaniments vto vaging, vurinary vincontinence vshould v be vconsidered va
vpathological vfinding vthat vnecessitates vfurther vassessment.
