A 62-year-old woman is being seen for a routine physical exam and states, "I've really slowed down this year; I'm feeling my age." Which of the following comments by the nurse is most appropriate?
a. "Mild diabetes often develops with age; I'll see if the doctor wants me to check your blood sugar."
b. "Aging causes the basal metabolic rate to change, and it's often normal to have less energy, but you should still mention it to the doctor."
c. "You're probably feeling tired because your body increases the release of growth hormone as you age."
d. "A decrease in parathyroid hormone secretion occurs with age, and that can make you feel tired. The doctor may want to check your calcium levels."
ANS: B
Most of the endocrine glands decrease their secretions with age, but normal aging usually does not lead to serious hormone deficiencies or illness. Unless specific pathological conditions develop, the endocrine system usually continues to function adequately in old age. Decreases in thyroid-stimulating hormone (TSH) and thyroid hormone cause a decrease in the basal metabolic rate and may result in decreased energy. Low parathyroid hormone is not a common cause of tiredness.
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