Answer to Question 1
Correct Answer: 3
Rationale 1: It would be premature, as well as outside the scope of nursing practice, for the nurse to consider any other pathology.
Rationale 2: With the normal aging process, there is a decrease in muscle tone, digestive juices, and intestinal activity. These together may lead to indigestion and constipation in the older adult. It would be premature, as well as outside the scope of nursing practice, for the nurse to tell the client that there is a need for invasive testing.
Rationale 3: With the normal aging process, there is a decrease in muscle tone, digestive juices, and intestinal activity. These together may lead to indigestion and constipation in the older adult.
Rationale 4: It would be premature, as well as outside the scope of nursing practice, for the nurse to consider any other pathology.
Answer to Question 2
Correct Answer: 2
Rationale 1: Now, evidence indicates that a systolic pressure of greater than 140 mm Hg is as problematic in older adults as in younger ones and should be treated.
Rationale 2: Isolated systolic hypertension was considered to be normal in older adults and was frequently not treated. Now, evidence indicates that a systolic pressure of greater than 140 mm Hg is as problematic in older adults as in younger ones and should be treated.
Rationale 3: Now, evidence indicates that a systolic pressure of greater than 140 mm Hg is as problematic in older adults as in younger ones and should be treated.
Rationale 4: It would be up to the physician or primary care provider whether or not to treat. The nurse does not make this decision.