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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is the most appropriate time to perform a testicular self-examination because the scrotum is relaxed and easier to examine after warm water exposure.
B. The testicle is egg-shaped and movable, but it should not feel lumpy. Lumps or abnormal findings should be reported to a healthcare provider.
C. While this advice is helpful, it does not answer the question of when or how to perform the
examination.
D. A monthly exam is generally recommended, not weekly, to detect early signs of testicular cancer.
Correct Answer is C
Explanation
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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