Free NCLEX RN Practice Questions Practice Question
The nurse is assessing elderly clients at a community center. Which of the following findings would be the most cause for concern?
Correct Answer: D
Rationale: In assessing elderly clients, rales bilaterally on chest auscultation indicate potential fluid in the lungs or respiratory issues, which can signify serious conditions such as pneumonia or heart failure. This finding warrants immediate attention due to the risk of complications.
In contrast, a complaint of dry mouth (A) may indicate dehydration or medication side effects but is typically manageable. Loss of 1 inch of height (B) can be common due to age-related changes in bone density and does not usually signal an acute health issue. Stiffened joints (C) are often part of normal aging and may indicate arthritis but are generally less urgent compared to respiratory concerns.
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