The nurse is assessing an older adult's musculoskeletal system. The nurse would evaluate that which findings represent normal age-related changes? Note: Credit will be given only if all correct choices and no incorrect choices are selected

Question

Select all that apply. 1. Slightly reduced ROM of the shoulder
2. Slower gait
3. Redness and crepitus of the knee joint
4. Inability to abduct the thumb
5. Asymmetry of the pelvis

Answer 1

1,2
Rationale 1: Normal changes of aging include some reduction of ROM in joints. Significant ROM changes are not normal and should be further evaluated.
Rationale 2: Slowing of the gait and maintaining a wider base of support are normal age-related changes.
Rationale 3: A small amount of knee joint crepitus may be attributed to normal aging-related changes, but redness over the joint is not normal.
Rationale 4: The degree of abduction may be slightly decreased due to normal aging, but the patient should still be able to make this motion.
Rationale 5: Pelvic asymmetry may indicate hip dislocation or fracture, severe degenerative joint disease, or severe muscle atrophy. It is not a part of normal aging and should be evaluated.