The 85-year-old patient with a newly diagnosed heart murmur ...

[ENagel]

The 85-year-old patient with a newly diagnosed heart murmur expresses concern that he has never been notified of this finding before. What is the most likely cause of this patient's heart murmur?
 
  a. Hypertension
  b. Atherosclerosis
  c. Insufficient valves
  d. Weakened pacemaker

Question 2

Which problem statement/nursing diagnosis is most appropriate for a person with Parkinson disease?
 
  a. Risk for falls related to unsteady gait.
  b. Ineffective airway clearance related to drooling.
  c. Risk for impaired skin integrity related to tremor.
  d. Nutrition: less than body requirements related to nausea.

[recede]

Answer to Question 1

C
Systolic murmurs commonly appear in people over the age of 80 . These murmurs are usually related to valvular dysfunction caused by thickening of the valves, especially the mitral and aor-tic valves.

Answer to Question 2

A
Rigidity and impaired balance with the propulsive gait create a risk for falls. The tremor de-creases with voluntary movement, making eating relatively trouble free. Drooling is not a threat for aspiration, and there is no characteristic nausea.