Nokea
A change of aging related to the circulatory system includes decreased blood vessel elasticity. For what should the nurse assess?
- A. Confusion
- B. Tachycardia
- C. Hypertension
- D. Retained secretions
Correct Answer: C
Rationale: The blood vessels become less elastic because of aging and may lead to increased blood pressure.
You may also like to solve these questions
The older adult patient complains to the nurse about nocturia. This problem is most likely related to:
- A. loss of bladder tone.
- B. decrease in testosterone.
- C. decrease in bladder capacity.
- D. intake of caffeine.
Correct Answer: C
Rationale: At least 50% of older men and 70% of older women must get up two or more times during the night to empty their bladders, a condition known as nocturia (excessive urination at night). The most significant age-related change is the decrease in bladder capacity.
An older adult is having difficulty swallowing. What position should the nurse recommend to aid in swallowing?
- A. Chin parallel
- B. Chin upward
- C. Chin down
- D. Chin to the side
Correct Answer: C
Rationale: The upright position, leaning slightly forward with the chin down, improves swallowing with the assistance of gravity.
What should be suggested to a patient to aid with the pain of claudication?
- A. Rest
- B. Exercise
- C. Cross legs
- D. Stand
Correct Answer: A
Rationale: A nursing intervention to relieve pain is to recommend the patient rest periodically until the pain subsides. Exercise and standing for long periods of time can exacerbate the pain. Crossing the legs can limit blood flow to the extremities and increase pain.
The nurse initiates the application of a draw sheet on every bedfast patient on her unit to facilitate lifting and to prevent forces.
Correct Answer: shearing
Rationale: Shearing forces cause skin damage by friction; for instance, when a patient is dragged across bed linens during a position change.
The older patient informs the nurse that food has no taste and therefore the patient has no appetite. What is this most likely caused by?
- A. Tasteless food
- B. Overuse of salt
- C. Lack of variety
- D. Loss of taste buds
Correct Answer: D
Rationale: Older adults may experience a loss of appetite. Change in taste as a result of decreased saliva production and a decreased number of taste buds may make food unappealing.