During an assessment the nurse determines that a 93-year-old ...

[jeatrice]

During an assessment the nurse determines that a 93-year-old patient is demonstrating age-related changes in the tunica intima layer of the vascular system. What did the nurse assess to make this clinical determination?
 
  Select all that apply.
 
  1. tachycardia
  2. postural hypotension
  3. weak peripheral pulses
  4. prominent neck and hand veins
  5. elevated systolic blood pressure

Question 2

Through genetic testing, parents learn that their adolescent child has long QT syndrome. What instructions regarding health protection should the nurse provide to this family?
 
  Select all that apply.
 
  1. Avoid loud music.
  2. Limit the intake of citrus fruits.
  3. Avoid foods with extra sodium.
  4. Practice caution when exercising.
  5. Restrict the intake of dairy products.

[onowka]

Answer to Question 1

Correct Answer: 2, 4, 5
Age-related changes in the tunica intima of blood vessels cause fibrosis, calcium and lipid accumulation, and cellular proliferation. These changes cause an increase in systolic blood pressure. Changes in baroreceptor function within the arteries lead to postural hypotension. Vessels in the head, neck, and extremities are more prominent. Tachycardia is a result of reduced myocardial efficiency and contractility. Weak peripheral pulses are not an expected age-related change in the vascular system.

Answer to Question 2

Correct Answer: 1, 4
Long QT syndrome (LQTS) is an inherited genetic disorder that results from structural abnormalities of the sodium, potassium, and calcium channels in the heart, leading to dysrhythmias. This can result in unconsciousness and may cause sudden cardiac death in teenagers and young adults if they are exposed to stressors ranging from exercise to loud sounds. There is no need for the patient to avoid foods with extra sodium or restrict the intake of citrus fruits or dairy products.

[jeatrice]

Correct answers!

[onowka]

Great! Please up vote