Joyce University NUR198 Exam 1
questions well answered
integumentary changes of older adults - correct answer ✔✔ - decreased skin turgor,
subcutaneous fat, and connective tissue leading to wrinkles and dry, transparent skin
- thickened fingernails and toenails
cardiovascular/pulmonary changes of older adults - correct answer ✔✔ -decreased chest wall
movement, vital capacity, and cilia
-reduced cardiac output
-decreased peripheral circulation
-increased BP
neurologic changes of older adults - correct answer ✔✔ -slower reaction time
-decreased senses (touch, smell, taste)
-decreased visual acuity
-night blindness
-inability to hear high-pitched sounds
-reduced spatial awareness
gastrointestinal changes of older adults - correct answer ✔✔ -decreased saliva production
-decreased digestive enzymes
-decreased intestinal motility leading to constipation
-increased dental problems
,musculoskeletal changes of older adults - correct answer ✔✔ -decreased height
-decreased muscle strength + tone
-bone decalcification
-joint degeneration
genitourinary changes of older adults - correct answer ✔✔ -decreased bladder capacity
-prostate hypertrophy (males)
-decrease in estrogen + testosterone production
-atrophy of breast tissue (females)
endocrine changes of older adults - correct answer ✔✔ -lowered T3 production
-decreased sensitivity to insulin
immune system changes of older adults - correct answer ✔✔ -decreased antibodies
-increased AUTOimmune response
-decreased core body temp
-decreased T-Cell function
-decreased stress response
-decreased response to immunizations
A nurse is obtaining a health history from an older adult client as part of a comprehensive
physical examination. Which of the following findings should the nurse expect as associated
with aging? (SATA)
A. skin thickening
B. increased saliva production
C. decreased height
D. nail thickening
, E. decreased bladder capacity - correct answer ✔✔ C, D, E
delirium - correct answer ✔✔ -acute + temporary
-often caused by physiological source or change in environment
-1st manifestation of UTI in older adults
What is often the 1st manifestation of a UTI in older adults? - correct answer ✔✔ delirium
dementia - correct answer ✔✔ Chronic, progressive
Ex. Alzheimer's, vascular dementia
A nurse is counseling an older adult who describes having difficulty dealing with several issues.
Which of the following problems verbalized by the client should the nurse identify as the
priority?
A. "I spent my whole life dreaming about retirement, and now I wish I had my job back."
B. "It's been so stressful for me to have to depend on my child to help around the house."
C. "I just heard my friend Al died. That's the third one in 3 months."
D. "I keep forgetting which medications I have taken during the day." - correct answer ✔✔ D. "I
keep forgetting which medications I have taken during the day."
Explanation: The nurse should identify that the greatest risk to this client is injury from
overdosing or underdosing medications due to loss of short-term memory. The priority issue is
to assist the client to implement safe medication strategies. Assist the client to use a pill
organizer to help them remember to take their medications and to keep a list of all current
medications.
A nurse is caring for an older adult client. Which of the following is an expected age-related
physiological change for which the nurse should monitor?
A. increased bone density
questions well answered
integumentary changes of older adults - correct answer ✔✔ - decreased skin turgor,
subcutaneous fat, and connective tissue leading to wrinkles and dry, transparent skin
- thickened fingernails and toenails
cardiovascular/pulmonary changes of older adults - correct answer ✔✔ -decreased chest wall
movement, vital capacity, and cilia
-reduced cardiac output
-decreased peripheral circulation
-increased BP
neurologic changes of older adults - correct answer ✔✔ -slower reaction time
-decreased senses (touch, smell, taste)
-decreased visual acuity
-night blindness
-inability to hear high-pitched sounds
-reduced spatial awareness
gastrointestinal changes of older adults - correct answer ✔✔ -decreased saliva production
-decreased digestive enzymes
-decreased intestinal motility leading to constipation
-increased dental problems
,musculoskeletal changes of older adults - correct answer ✔✔ -decreased height
-decreased muscle strength + tone
-bone decalcification
-joint degeneration
genitourinary changes of older adults - correct answer ✔✔ -decreased bladder capacity
-prostate hypertrophy (males)
-decrease in estrogen + testosterone production
-atrophy of breast tissue (females)
endocrine changes of older adults - correct answer ✔✔ -lowered T3 production
-decreased sensitivity to insulin
immune system changes of older adults - correct answer ✔✔ -decreased antibodies
-increased AUTOimmune response
-decreased core body temp
-decreased T-Cell function
-decreased stress response
-decreased response to immunizations
A nurse is obtaining a health history from an older adult client as part of a comprehensive
physical examination. Which of the following findings should the nurse expect as associated
with aging? (SATA)
A. skin thickening
B. increased saliva production
C. decreased height
D. nail thickening
, E. decreased bladder capacity - correct answer ✔✔ C, D, E
delirium - correct answer ✔✔ -acute + temporary
-often caused by physiological source or change in environment
-1st manifestation of UTI in older adults
What is often the 1st manifestation of a UTI in older adults? - correct answer ✔✔ delirium
dementia - correct answer ✔✔ Chronic, progressive
Ex. Alzheimer's, vascular dementia
A nurse is counseling an older adult who describes having difficulty dealing with several issues.
Which of the following problems verbalized by the client should the nurse identify as the
priority?
A. "I spent my whole life dreaming about retirement, and now I wish I had my job back."
B. "It's been so stressful for me to have to depend on my child to help around the house."
C. "I just heard my friend Al died. That's the third one in 3 months."
D. "I keep forgetting which medications I have taken during the day." - correct answer ✔✔ D. "I
keep forgetting which medications I have taken during the day."
Explanation: The nurse should identify that the greatest risk to this client is injury from
overdosing or underdosing medications due to loss of short-term memory. The priority issue is
to assist the client to implement safe medication strategies. Assist the client to use a pill
organizer to help them remember to take their medications and to keep a list of all current
medications.
A nurse is caring for an older adult client. Which of the following is an expected age-related
physiological change for which the nurse should monitor?
A. increased bone density
