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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Pallor and cyanosis: Indicative of arterial insufficiency, not venous disease.
B. Thin, shiny skin: Seen in peripheral arterial disease (PAD).
C. Brownish discoloration: Caused by hemosiderin deposits from chronic venous congestion.
D. Unilateral cool foot: Suggests acute arterial obstruction.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"}}
Explanation
Each category must have at least 1 response option selected
|
Finding |
Normal |
Abnormal |
|
Tympany to percussion over the intestines |
✅ |
|
|
Loose, watery stool |
✅ |
|
|
Suprapubic tenderness |
✅ |
|
|
A non-palpable spleen |
✅ |
|
|
Aortic pulsation in the epigastric area |
✅ |
|
|
Decreased bowel sounds |
✅ |
Rationale:
Tympany to percussion over the intestines (Normal):
Tympany is expected due to the presence of gas in the intestines.
Loose, watery stool (Abnormal):
This is indicative of diarrhea, which may point to gastrointestinal upset or infection.
Suprapubic tenderness (Abnormal):
Tenderness in this area may indicate bladder infection, inflammation, or pelvic issues.
A non-palpable spleen (Normal):
The spleen is generally not palpable in healthy individuals unless it is enlarged (splenomegaly).
Aortic pulsation in the epigastric area (Normal):
Mild pulsations may be felt in thin or normal-weight individuals. However, a widened or strong pulsation could suggest an abdominal aortic aneurysm.
Decreased bowel sounds (Abnormal):
Hypoactive or absent bowel sounds may indicate decreased intestinal motility, such as in ileus or peritonitis.
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