(1 point). Listen.
An older adult patient with chronic orthostatic hypotension should be monitored closely for:.
Aneurysms.
Heart failure.
Falls.
Atherosclerosis.
The Correct Answer is C
Choice A rationale:
Aneurysms Aneurysms are not typically associated with chronic orthostatic hypotension. Aneurysms involve the weakening and ballooning of blood vessels, which can lead to life-threatening complications like rupture or dissection. However, they are not directly related to orthostatic hypotension.
Choice B rationale:
Heart failure Heart failure is a condition in which the heart cannot pump blood effectively, leading to symptoms like fluid retention, shortness of breath, and fatigue. While heart failure can cause orthostatic hypotension, it is not a complication that an older adult patient with chronic orthostatic hypotension should be primarily monitored for. Instead, the focus should be on addressing orthostatic intolerance and the risk of falls.
Choice C rationale:
Falls Chronic orthostatic hypotension is characterized by a drop in blood pressure upon standing, which can lead to dizziness, fainting, and falls. Monitoring for falls is crucial in older adults with this condition to prevent injuries and complications associated with falling. This is the correct choice because it directly addresses the potential risks associated with orthostatic hypotension.
Choice D rationale:
Atherosclerosis Atherosclerosis is a condition characterized by the buildup of fatty deposits in the arteries, which can lead to reduced blood flow to various organs. While atherosclerosis can contribute to cardiovascular issues, it is not the primary concern for an older adult with chronic orthostatic hypotension. The immediate concern is the risk of falls and related injuries.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Hypertension is not the term used to describe insufficient coronary blood flow. Hypertension refers to high blood pressure, which may contribute to cardiovascular issues, but it does not directly describe the inadequate blood flow.
Choice B rationale:
Metabolic syndrome is also unrelated to insufficient coronary blood flow. Metabolic syndrome is a cluster of conditions that increase the risk of heart disease, stroke, and type 2 diabetes. It doesn't describe the process of inadequate blood flow.
Choice C rationale:
Myocardial ischemia is the correct term to describe insufficient coronary blood flow. Ischemia occurs when there is an inadequate supply of blood to the heart muscle, leading to oxygen deprivation. This term accurately characterizes the condition mentioned in the question.
Choice D rationale:
Diuresis is unrelated to the process of insufficient coronary blood flow. Diuresis refers to increased urine production and does not address the primary issue, which is inadequate blood supply to the heart.
Correct Answer is A
Explanation
Choice A rationale:
The term the nurse should use to describe the finding of pain on ambulation in a patient with peripheral artery disease is "intermittent claudication.”. Intermittent claudication is a classic symptom of peripheral artery disease and is characterized by muscle pain or cramping in the legs during physical activity, such as walking, which improves with rest. This choice is correct because it accurately describes the symptom associated with the condition and helps in effective communication with both the healthcare team and the patient.
Choice B rationale:
Deep vein thrombosis (DVT) is a different vascular condition that involves the formation of blood clots in deep veins, often in the legs. While DVT can also cause leg pain and swelling, it is not the appropriate term to describe the pain on ambulation in a patient with peripheral artery disease. Using this term would lead to a misunderstanding of the patient's condition, so it is not the correct choice.
Choice C rationale:
Thromboangiitis obliterans, also known as Buerger's disease, is a rare inflammatory condition that primarily affects the blood vessels in the arms and legs. While it can cause pain and other symptoms, it is not the term to describe the pain on ambulation in a patient with peripheral artery disease. Using this term would be misleading and not reflective of the patient's condition.
Choice D rationale:
Venous stasis ulcer is a term used to describe open sores or ulcers that develop on the legs due to chronic venous insufficiency. It is not the appropriate term to describe the pain on ambulation in a patient with peripheral artery disease. Using this term would not accurately convey the patient's symptoms, so it is not the correct choice.
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