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. Determine areas of tenderness: While identifying tenderness is important, it is not the reason for auscultating first.
B. Allows the patient to relax: Relaxation is helpful but not the primary reason for the sequence.
C. Prevents distortion of bowel sounds: Percussion and palpation can stimulate or suppress bowel sounds, leading to inaccurate findings if performed before auscultation.
D. Prevents distortion of vascular sounds: Vascular sounds (bruits) are less likely to be affected by percussion or palpation.
Correct Answer is A
Explanation
A. Posterior tibial: The posterior tibial pulse is palpated just posterior to the medial malleolus (inner ankle).
B. Femoral: The femoral pulse is assessed in the groin area, not near the ankle.
C. Popliteal: The popliteal pulse is located behind the knee, not near the ankle.
D. Dorsalis pedis: The dorsalis pedis pulse is palpated on the top of the foot, not near the ankle.
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