Chapter 20- Cardiovascular Function Exam with Questions And Answers. A+ Grade Guaranteed

Origin: Chapter 20- Cardiovascular Function, 1 1.Which of the following individuals is likely at the highest risk for orthostatic hypotension? A) A 75-year-old woman who uses a walker B) An 80-year-old man who strains to void when using the bedside commode C) A 60-year-old who has a long leg cast on his right leg D) An 80-year-old woman who is taking Premarin Ans: B Feedback: Orthostatic hypotension rises significantly after the age of 75. A risk factor for orthostatic hypotension is doing a Valsalva maneuver while voiding. Origin: Chapter 20- Cardiovascular Function, 2 2.Which of the following statements by an older adult indicates the need for further teaching related to cholesterol reduction? A) "I will decrease my intake of food high in polyunsaturated fatty acids." B) "I will increase my intake of soybeans, walnuts, and canola oil." C) "I will eat fish four times a week." D) "I will limit my intake of trans fatty acids and saturated fat." Ans: A Feedback: Nutritional interventions for cholesterol reduction limit foods containing saturated fats and trans fatty acids and increase foods that are high in polyunsaturated fatty acids. Origin: Chapter 20- Cardiovascular Function, 3 3.An older adult is admitted to the emergency department with dyspnea and a sudden change in level of consciousness. The nurse should assess first for which of the following disorders? A) Myocarditis B) Aortic aneurysm C) Cor pulmonale D) Myocardial infarction Ans: D Feedback: Compared with younger adults, older adults experiencing a myocardial infarction are more likely to have dyspnea or neurologic symptoms, rather than chest discomfort. Older adults with angina and acute myocardial infarction are more likely to have subtle and unusual manifestations. Origin: Chapter 20- Cardiovascular Function, 4 4.Which of the following considerations should a nurse prioritize when assessing an older adult who has arrhythmias? A) Assess the client for adverse medication reactions. Page 1 This study source was downloaded by from CourseH on 12-01-2022 05:23:34 GMT -06:00 B) Check the client's electrolytes immediately. C) Make an assessment in relation to the client's medical history. D) Perform auscultation before collecting the client's history. Ans: C Feedback: Murmurs and arrhythmias may be caused by cardiac diseases, electrolyte imbalances, or adverse medication effects. It is important to make an assessment of underlying causes in relation to the client's medical history. Origin: Chapter 20- Cardiovascular Function, 5 5.Which of the following is the most important remediable risk factor for cardiovascular disease in older adults? A) Smoking B) Stress C) Sedentary lifestyle D) Aggressive personality Ans: A Feedback: Smoking is a major risk factor for cardiovascular disease. Benefits of smoking cessation as a secondary prevention intervention begin immediately and are as effective in older adults as they are in younger people. Additional lifestyle interventions that are effective for preventing cardiovascular disease include remaining physically active, managing stress, and maintaining ideal body weight. Origin: Chapter 20- Cardiovascular Function, 6 6.Older adults experience a number of changes in the structure or function of their cardiovascular system. Which of the following changes is considered to be a normal, agerelated change? A) Veins become thinner and more elastic. B) Regulation of blood pressure and heart rate becomes less efficient. C) Heart valves become atrophied and regurgitation occurs. D) Heart rate becomes slower and ejection fraction increases. Ans: B Feedback: Overall regulation of blood pressure and heart rate becomes less responsive and less efficient with age. Veins become thicker and stiffer. Heart rate does not typically slow with age and valvular regurgitation is considered a pathologic condition at any age. Origin: Chapter 20- Cardiovascular Function, 7 7.The nurses who provide care in a long-term care setting are aware of the high prevalence and risks of cardiovascular disease among the older adults who live at the facility. Which of the following measures