During an assessment of an 80-year-old patient, the nurse notices the following: an inability to identify vibrations at her ankle and to identify the position of her big toe, a slower and more deliberate gait, and a slightly impaired tactile sensation

All other neurologic findings are normal. The nurse should interpret that these findings indicate:
a.
CN dysfunction.
b.
Lesion in the cerebral cortex.
c.
Normal changes attributable to aging.
d.
Demyelination of nerves attributable to a lesion.


ANS: C
Some aging adults show a slower response to requests, especially for those calling for coordination of movements. The findings listed are normal in the absence of other significant abnormal findings. The other responses are incorrect.

Nursing

You might also like to view...

The nurse is obtaining the height and weight of an older adult client. The client asks why the height is 1 inch less than last year. Which response by the nurse is the most appropriate?

1. "Your bones are weaker and are shrinking." 2. "I am sure you are mistaken and just don't remember from last year." 3. "Your height decreases with age due to musculoskeletal changes." 4. "Stand up straighter this time and we will measure again."

Nursing

A client with a disorder of the plasma cells has a deficiency in which part of the immune system?

1. Antigens that produce a diffuse immune response 2. Monocytes that are found in an exudate 3. Activated B lymphocytes that produce immunoglobulins specific to an antigen 4. Macrophages that devour bacteria

Nursing

The nurse has identified a priority problem on her unit. Which of the following statements is true regarding addressing a priority problem?

A) Setting priorities involves skipping interventions. B) Priorities are set at predetermined intervals throughout the shift. C) A priority problem requires a nursing intervention before another problem is addressed. D) Priority of problems is established and continued according to the nursing plan of care. E) The physician is responsible for determining priority of patient needs.

Nursing

Delirium tremens is a common complication of eating disorders.

Answer the following statement true (T) or false (F)

Nursing