The nurse is contributes to the plan of care for an older patient. What should the nurse recognize as normal signs of aging within the renal system? (Select all that apply.)
a. Bladder size increases
b. Urethral changes position
c. Number of nephrons decreases
d. Detrusor muscle tone decreases
e. Glomerular filtration rate increases
ANS: C, D
With age, the number of nephrons in the kidneys decreases, often to half the original number by age 70 or 80. E. The GFR also decreases; this is in part a consequence of arteriosclerosis and diminished renal blood flow. A. The urinary bladder decreases in size. D. The tone of the detrusor muscle decreases. B. The urethra does not change position with aging.
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A client is demonstrating dizziness and lightheadedness upon standing. The nurse is concerned the client is experiencing postural hypotension when which of the following is assessed?
1. Lying BP 120/70 mmHg, P 70; standing BP 116/78 mmHg, P 78 2. Lying BP 116/64 mmHg, P 62; standing BP 94/58 mmHg, P 78 3. Lying BP 130/80 mmHg, P 84; standing BP 118/72 mmHg, P 90 4. Lying BP 126/74 mmHg, P 74; standing BP 108/62 mmHg, P 84
The Smith family has a preschool child, Emma. Nursing interventions that would be appropriate for this stage of family development would be
A) identification of family stressors between Mr. and Mrs. Smith. B) anticipatory guidance regarding developmental expectations for Emma's age. C) assisting the family with balancing freedom with responsibility for Emma. D) health teaching related to self-care expectations for Emma.
A nurse is caring for an older adult. Which sensory change will the nurse identify as normal during the assessment?
a. Impaired night vision b. Difficulty hearing low pitch c. Heightened sense of smell d. Increased taste discrimination
The children of an older male adult feel he is too old to drive a car. Which assessment in-formation about the man warrants further investigation by the nurse to determine his fit-ness to drive a car safely? (Choose all that apply.)
a. Increased rate of tripping on curbs b. Increased frequency of getting lost c. Multiple bruises on lower extremities d. Restricts reading to a well-lit sunroom e. Socializes with a partners bridge group f. Cooks gourmet meals for entertainment