Author Question: A 92-year-old client is scheduled for a colectomy. Which normal physiological change that ... (Read 42 times)

jho37 · **on:** Jul 22, 2018

A 92-year-old client is scheduled for a colectomy. Which normal physiological change that accompanies the aging process increases this client's risk for surgery?

a. An increased tactile sensation
b. An increased metabolic rate
c. A relaxation of arterial walls
d. Reduced glomerular filtration

Question 2

A client who is suspected of having vascular insufficiency to the lower extremities is assessed by the nurse to have which one of the following?

a. Increased hair growth on the legs and feet
b. Dull appearance of the skin
c. Erythema on elevation of the feet
d. Diminished pedal pulses

mfedorka · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D
The older adult client is likely to have a reduced glomerular filtration rate. This limits the body's ability to eliminate drugs or toxic substances.
The older adult client has reduced tactile sense, which decreases the client's ability to respond to early warning signs of surgical complications, including sensing pressure over bony prominences.
The older adult client has a lower basal metabolic rate, reducing total oxygen consumption.
Rigidity of arterial walls is seen in the older adult.

Answer to Question 2

D
The client with vascular insufficiency of the lower extremities may exhibit diminished pedal pulses and even diminished posterior tibial pulses.
The client with vascular insufficiency of the lower extremities would have decreased hair growth on the legs and feet.
The client with vascular insufficiency typically has a shiny appearance of the skin of the lower extremities.
The client with vascular insufficiency characteristically demonstrates blanching of the skin on elevation.