During a cardiovascular assessment of an 80-year-old adult, a nurse should consider which of the following as expected findings?

Hormonal changes causing vasodilation resulting in hypotension

Atrophy of the muscles causing venous insufficiency

Peripheral blood vessels become more rigid producing a rise in systolic blood pressure.

Narrowing of the inferior vena cava causing, bilateral lower extremities varicosities

Answer and Explanation

The Correct Answer is C

A.   Hormonal changes can occur, but they typically do not cause significant vasodilation or hypotension in the elderly.
B.   Atrophy of the muscles causing venous insufficiency. While venous insufficiency can occur in aging, muscle atrophy is not the primary factor in this issue.
C.   Peripheral blood vessels become more rigid producing a rise in systolic blood pressure. This is a common and expected finding in the elderly due to arteriosclerosis, leading to increased systolic blood pressure.
D.   The inferior vena cava does not typically narrow with age, and varicosities are more likely due to vein elasticity changes, not narrowing.

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Correct Answer is C

Explanation

A. The Achilles reflex involves the contraction of the calf muscles, not the fanning of the toes.
B. A negative Babinski sign would show the toes curling downward, which is normal for adults, not fanning out.
C. A positive Babinski sign, where the toes fan out and the big toe dorsiflexes, is abnormal in adults and typically indicates neurologic damage or dysfunction.
D. Clonus involves repeated muscle contractions, not the fanning of the toes.

A. headache with pain level 4/10 B. Generalized anxiety C. Shortness of breath

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"C"},"C":{"answers":"A"}}

Explanation

Shortness of breath is a first-level priority because it is a potentially life-threatening issue. It requires immediate attention to ensure the patient is not experiencing an acute respiratory or cardiovascular event.

Headache with pain level 4/10 is a second-level priority because it is uncomfortable but not immediately life-threatening. The nurse should assess the cause of the headache, considering anxiety and other factors.

Generalized anxiety is a third-level priority as it does not pose an immediate threat to life, but should still be addressed to improve the patient’s comfort and well-being.

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During a cardiovascular assessment of an 80-year-old adult, a nurse should consider which of the following as expected findings?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A newly admitted patient is having generalized anxiety, headache with pain level 4/10, and shortness of breath at rest. How should the nurse prioritize these problems?

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"C"},"C":{"answers":"A"}}

Explanation

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