During an assessment of an older adult, the nurse should expect to notice which finding as a normal physiologic change associated with the aging process?

Progressive atrophy of the intramuscular calf veins, causing venous insufficiency

Narrowing of the inferior vena cava, causing low blood flow and increases in venous pressure resulting in varicosities.

Peripheral blood vessels growing more rigid with age, producing a rise in systolic blood pressure

Hormonal changes causing vasodilation and a resulting drop in blood pressure

Answer and Explanation

The Correct Answer is C

A. Atrophy of calf veins: Vein atrophy is not a normal aging process, although venous insufficiency is common due to other causes.

B. Narrowing of the inferior vena cava: This is not a typical age-related change.

C. Peripheral blood vessels growing more rigid: Arteriosclerosis (hardening of the arteries) is common with aging and leads to increased systolic blood pressure.

D. Hormonal changes causing vasodilation: Aging tends to cause vascular rigidity, not vasodilation, and is more likely to lead to hypertension.

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Correct Answer is D

Explanation

A. Change in cilia: This is not the cause of dry, flaky cerumen. It would not be typical to assess hearing loss based on this observation alone.

B. Poor hygiene: Dry, flaky cerumen is not indicative of poor hygiene. Hygiene-related cerumen would more likely be wet and impacted.

C. Lesions from eczema: While eczema can affect the ear canal, the dry cerumen itself is more likely to be a normal characteristic for some individuals, particularly in people of Asian descent.

D. Normal finding: The presence of dry, flaky cerumen is normal in certain ethnic groups, including East Asians, and usually requires no follow-up.

Correct Answer is {"dropdown-group-1":"A"}

Explanation

Claudication due to arterial abnormalities in

Rationale: Intermittent claudication is a hallmark symptom of peripheral arterial disease (PAD). It is characterized by muscle pain or cramping in the lower extremities, typically triggered by exercise and relieved by rest. The pain occurs due to ischemia, or reduced blood flow, resulting from partial arterial obstruction.

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During an assessment of an older adult, the nurse should expect to notice which finding as a normal physiologic change associated with the aging process?

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Naxlex Comprehensive Predictor Exams

During an assessment of a 20-year-old Asian patient, the nurse notices that he has dry, flaky cerumen in his canal. What is the significance of this finding? This finding:

Correct Answer is D

Explanation

Correct Answer is {"dropdown-group-1":"A"}

Explanation

When performing a peripheral vascular assessment on a patient, the nurse is unable to palpate the ulnar pulses. The patient's skin is warm and capillary refill time is normal. Next, the nurse should;

A 70-year-old patient tells the nurse that he has noticed that he is having trouble hearing, especially in large groups. He says that he "can't always tell where the sound is coming from" and the words often sound "mixed up." What might the nurse suspect as the cause for this change?

The nurse is watching a new graduate nurse perform auscultation of a patient's abdomen. Which statement by the new graduate shows a correct understanding of the reason auscultation precedes percussion and palpation of the abdomen?

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A patient's vision is recorded as 20/30 when the Snellen eye chart is used. The nurse interprets these results to indicate that:

During an abdominal assessment, the nurse is unable to hear bowel sounds in a patient's abdomen. How long should the nurse listen before reporting absent bowel sounds?

A nurse is educating a patient regarding arterial insufficiency. The nurse knows the patient has a correct understanding of arterial risk factors by listing the following:

Which of the following should the nurse perform to assess the arterial function of the lower extremities?