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1. The nurse is providing care to an older adult patient who is experiencing
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q bradycardia. When educating the patient about this disorder, which age-re-
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q lated cardiovascular change should the nurse include?
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…Ans>> Reduced number of pacemaker cells in the SA node
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Rationale: A reduced number of pacemaker cells in the SA node causes the maximum heart
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qrate to decrease with age, leading to bradycardia.
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2. The nurse is providing care to an older adult patient who is diagnosed
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q with congestive heart failure (CHF). When educating the patient about this
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q disorder, which age-related cardiovascular change should the nurse include?-
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…Ans>> Increased size of the left atrium
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Rationale: Left atrial enlargement causes a fourth heart sound to be auscultated and is also
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responsible for an increased risk for hypertension and congestive heart failure (CHF).
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,3. The nurse is providing care to an older adult patient who is diagnosed
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q with atrial fibrillation. When educating the patient about this disorder, which
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q age-related cardiovascular change should the nurse include?
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…Ans>> Decreased cardiac responsiveness to beta-adrenergic stimuli
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Rationale: Decreased cardiac responsiveness to beta-adrenergic stimuli increases the risk for
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qarrhythmias, atrial fibrillation, and reduced heart rate control when exposed to stressors.
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4. Which electrolyte imbalance should the nurse monitor an older adult patient
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q for due to impaired renal diluting capacity and concentrating ability?
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…Ans>> Hyponatremia qq
Rationale: Sodium imbalances occur due to impaired renal diluting capacity and concentrati
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qability.
5. Which clinical manifestation does the nurse anticipate when providing care
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q to an older adult patient diagnosed with failure to thrive (FTT)?
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…Ans>> Skin that loses elasticity with poor turgor
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Rationale: Dehydration, manifested with decreased elasticity and turgor of the skin, supports
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qthe diagnosis of FTT.
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6. The nurse is providing care to a patient who is diagnosed with acute
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q respiratory distress syndrome (ARDS). Which clinical manifestation does the
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, q nurse anticipate for this patient who is experiencing hypoxia as a result of the
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q ARDS diagnosis?
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…Ans>> Dyspnea qq
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