An older adult client with chronic heart failure is found to have cardiomegaly. The client asks you to explain what has caused this problem. Which of the following would be most accurate?

1. Damage from bacteria collecting on heart valves
2. Being too sedentary or immobile for years
3. Decreased elasticity of the arteries and veins
4. Elevated cholesterol and triglyceride levels


3
Rationale: As the client ages, the elasticity of the arteries and veins declines, resulting in loss of flexibility, leading to hypertension and poor venous return to the heart. The end result is heart failure with Cardiomegaly, as the heart works harder to maintain adequate cardiac output.

Nursing

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