Author Question: The nurse is planning care for an older patient who exhibits low blood pressure. What should the ... (Read 63 times)

bcretired · **on:** Jun 25, 2018

The nurse is planning care for an older patient who exhibits low blood pressure. What should the nurse include in this plan that addresses age-related vascular changes?

Select all that apply.

1. monitoring hemoglobin level
2. monitoring the effects of medications
3. encouraging frequent position changes
4. monitoring lower extremities for edema
5. assessing skin for evidence of inflammation

Question 2

A patient returns to the unit following a cardiac catheterization. Which nursing interventions are appropriate for this patient?

Select all that apply.
1. Assess cardiac rhythm and rate.
2. Assess patient for complaints of shortness of breath.
3. Maintain bed rest as ordered.
4. Assess pulses proximal to the insertion site.
5. Maintain fluid restriction.

BAOCHAU2803 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2, 3, 4, 5
Because of age-related changes to the tunica media, blood pressure can decrease. This can lead to inadequate tissue perfusion and subsequent edema, inflammation, pressure ulcers, and changes in the effects of medications. Monitoring the hemoglobin level addresses an age-related change in the bone marrow that can lead to anemia in the older patient.

Answer to Question 2

Correct Answer: 1, 2, 3
Nursing interventions after cardiac catheterization procedure include monitoring vital signs every 15 minutes for the first hour and then every 30 minutes until stable. Cardiac rhythm and rate should be assessed for alterations. The patient should be assessed for complaints of chest heaviness, shortness of breath, and abdominal or groin pain. The patient should remain on bed rest as ordered. Oral fluids should be encouraged unless contraindicated. Pulses distal, not proximal, to the insertion site should be assessed