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 D

Explanation

A. This area is used to assess the mitral area, not the pulmonic area.
B. The left fifth intercostal space at the midclavicular line. This is the correct location to assess the mitral area of the heart, not the pulmonic area.
C. This is the correct area to assess the pulmonic valve, not the left side.
D. This is the correct location to assess for the pulmonic area, where the second heart sound is best heard and where pulsations may be noted.

A. Flexion. B. Abduction C. Adduction D. Extension

Correct Answer is C

Explanation

A. Flexion involves decreasing the angle between two body parts, such as bending the knee or elbow, not moving the leg laterally.
B. Abduction is the movement of a body part away from the midline of the body. In this case, moving the leg laterally fits this description.
C. Adduction refers to movement toward the body's midline, the opposite of abduction.
D. Extension involves straightening a body part, such as straightening the knee, which does not match the description of moving the leg laterally and medially.

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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

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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