Exam 19: Cardiovascular Function

When administering metoprolol to an older adult patient with hypertension,the nurse is careful to have the patient's care plan include

The patient is an older,female,African American adult who has a 10-year history of type 2 insulin-dependent diabetes.The nurse notes that the patient's greatest risk for developing secondary hypertension is her

The nurse educates the obese older adult patient that the single most important outcome that will affect his or her cardiac health is

The effect of aging on the cardiovascular system is evidenced by which symptoms in an older adult performing a stress test? (Select all that apply. )

A patient has peripheral vascular disease.What statement by the patient indicates a need for further teaching?

An older patient is overwhelmed at the number of lifestyle changes needed to manage newly diagnosed cardiovascular disease.What action by the nurse will reduce this barrier to teaching?

The nurse is teaching cardiovascular risk factors to a group of older adults.The nurse stresses that cigarette smokers are four times more likely to die of sudden cardiac death than nonsmokers.What is the reason behind this statement?

A novice nurse requires additional education on arterial vascular deficiency when suggesting the condition's symptoms include

A patient had a heart attack and the nurse identifies the diagnosis as activity intolerance.What assessment finding indicates a priority goal for this diagnosis is being met?

A 77-year-old patient is being treated for cardiac arrhythmia.The nurse determines that the patient's cardiac output is adequate with which assessments? (Select all that apply. )

An older adult recovering from a myocardial infarction (MI)has been taking subcutaneous heparin but is now to receive oral warfarin.The nurse prepares to teach the patient which topics? (Select all that apply. )

An older patient in the internal medicine clinic reports usually being able to walk 1 mile without complaint.However,in the past 2 weeks,after walking just mile,the patient's legs begin to ache.The pain goes away with rest.What action by the nurse is most appropriate?

To evaluate an older patient for possible renal failure as a result of chronic untreated hypertension,nurse prepares to

A 76-year-old patient has been recently diagnosed with cardiac valvular disease.The nurse assesses the patient and recognizes that the medical diagnosis is supported by which finding?

A novice nurse learns that normal aging can result in changes in the ECG of a 73-year-old patient.The experienced geriatric nurse explains that these changes may include which of the following? (Select all that apply. )

An older patient is prescribed nifedipine for hypertension.What teaching topic is most important to discuss with this patient?

An older patient is upset with a blood pressure reading of 180/78 mmHg.What response by the nurse is best?

A nurse has provided discharge teaching for an older adult patient who had a pacemaker implanted.Which statement by the patient indicates appropriate understanding of the device?

The nurse shows an understanding of how anemia symptoms present in the older population when

A nurse is caring for a patient taking furosemide.What assessment finding needs to be reported to the provider immediately?