Exam 45: Pathophysiologic Concepts of Aging

The nurse is reviewing the prescription of azithromycin for an older adult client with an infection. Which aspect of nursing knowledge causes the nurse to contact the prescribing health-care provider?

Which are the symptoms of dementia with Lewy bodies? Select all that apply.

The nurse is assessing an older adult client whose family members are concerned about the loss of social skills coupled with crude language and sexual acting out. The client's spouse states, "He is acting just like his father did." Which probable diagnosis does the nurse recognize?

The magnetic resonance imaging (MRI) and positron emission tomography (PET) scan reports of an older adult client show cerebral atrophy in the frontal and temporal lobes. Which condition does the nurse suspect in the client?

The nurse observes an older client with dementia exhibiting antisocial behavior and loss of social skills. Which therapy is the nurse most likely to find in the client's prescription?

In which manner does the nurse describe the role of multicausality in the immune function of an older adult client?

After reviewing the single photon emission computerized tomography (SPECT) report of a client who has dementia with Lewy bodies, the nurse anticipates delusional behavior in the client. In which area of the brain does the nurse observe hyperperfusion according to the SPECT?

While reviewing the case file of an older adult client, the nurse finds the client's vitamin B₁₂ deficiency is untreated. Which physiological change in the nervous system does the nurse suspect to cause gait instability and paresthesia in the client?

Which changes in the neurotransmitters are seen with increasing age? Select all that apply.

Which age-related changes in the respiratory system are responsible for an increased susceptibility to pneumonia in older clients? Select all that apply.

The x-ray of an older adult client shows kyphosis with collapse of the intervertebral discs. Which changes does the nurse anticipate in this client?

The nurse reviews the tests performed on an older adult's gastrointestinal system. Which condition does the nurse associate with the presence of flattened villi of the intestine?

Which heart tissues are more prone to connective tissue infiltration in older adult clients? Select all that apply.

While reviewing the medical history of a client with type 2 diabetes mellitus, the nurse notices the client has impaired renal function. Which prescribed medication for the client does the nurse expect to be replaced?

The nurse is reviewing the factors that diminish the ability to mount a febrile response in older adult clients with staff nurses. Which statement made by a nurse indicates the need for additional review?

Which classes of medication are beneficial to manage the cognitive decline in a client with vascular dementia? Select all that apply.

The registered nurse is teaching a group of students about functional consequences of physiological aging on the cardiovascular system. Which statement made by a student nurse indicates the need for additional teaching?

Which change in the integumentary system of older clients is responsible for difficulties in thermoregulation?

An older adult client is being assessed by the nurse. The client states, "I seem to get sicker more often. I was a robust and healthy person for many years." In which manner does the nurse explain the theory of immunosenescence and aging?

Which changes in the renal system are associated with increasing age of an individual? Select all that apply.