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 B

Explanation

A. This category refers to non-urgent problems, which does not apply here as the client is showing signs of severe distress and requires immediate attention.
B. Central cyanosis, a low heart rate (bradycardia), and low blood pressure are life-threatening signs that necessitate immediate intervention to stabilize the patient.
C. This is not a routine or minor situation. The client is in critical condition and requires urgent intervention.
D. While second-level priorities are important, this patient has life-threatening signs requiring first-level priority, immediate action, and stabilization.

A. May indicate disease of the cerebellum or brainstem. B. is a sign that the patient is nervous about the examination C. Indicates a visual problem, and a referral to an ophthalmologist is indicated. D. is a normal occurrence

Correct Answer is A

Explanation

A. Severe nystagmus is often associated with neurological disorders, particularly those affecting the cerebellum or brainstem.
B. is a sign that the patient is nervous about the examination. Nervousness typically doesn’t cause severe, persistent nystagmus.
C. Indicates a visual problem, and a referral to an ophthalmologist is indicated. While nystagmus affects vision, it is usually neurologically based, requiring a neurological assessment rather than a referral to an ophthalmologist.
D. Nystagmus is not typically normal, especially when it is severe and persistent. It warrants further investigation.

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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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