The nurse is assessing the endocrine system of an elderly client. Which of the following are considered age-related changes of this system? (Select all that apply.)

1. Increased estrogen in women
2. Increased production of antidiuretic hormone
3. Decreased testosterone in men
4. Increased pancreatic secretion of insulin
5. Smaller thyroid gland
6. Risk for osteoporosis


2, 3, 5, 6
Age-related changes include a decreasing basal metabolic rate as a result of a smaller thyroid gland. There is an increased production of antidiuretic hormone, resulting in more dilute urine and polyuria. Other changes are that the pancreas secretes less insulin, estrogen decreases in women, and testosterone decreases in men. Because estrogen function decreases in females, there is an increased risk for osteoporosis.

Nursing

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Maggie is a new UAP. She has been working the 7 p.m. to 7 a.m. shift on a busy telemetry unit for 3 months. She is perpetually late to work. The other UAPs on the unit are complaining about the situation

Of the following responses, which demonstrates the best example of assertive communication? A) "You are always late; what are you going to do about this situation?" B) "Being late is unacceptable; you need to change this behavior" C) "I noticed that you often arrive late; I think we need to discuss how this affects your performance" D) "Lateness creates a situation that leads to a negative day; I think it is time to work out a plan to eliminate this problem"

Nursing

All of the following factors contribute to a domestic violence victim returning to her abusive partner except:

a. support from the criminal justice system. b. lack of housing and suitable job. c. pressure from family and friends. d. concern for children's well-being.

Nursing

A patient recovering from a total hip replacement has vital signs assessed by unlicensed assistive personnel. Which vital sign value should cause the most concern for the nurse?

A. Temperature 102°F B. Heart rate 82 bpm C. Respiratory rate 18 breaths/min D. Blood pressure 110/76 mmHg

Nursing