A 70-year-old patient must have her blood pressure checked during each shift. She asks the nurse to explain her hypertension
The nurse's reply is based on the knowledge that the older adult patient often experiences hypertension because of which of the following changes? a. Vascular changes related to aging.
b. Reduction in physical activity
c. Ingestion of processed foods high in sodium
d. Myocardial damage and venous insufficiency
A
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A Although hypertension is not a normal physiological change of aging, older adults often experience hypertension because of vascular changes. Vascular changes include thickening of vessel walls, narrowing of vessel lumen, and loss of vessel elasticity. Systolic or diastolic hypertension (systolic pressure >140 mm Hg, diastolic >90 mm Hg) is seen in 50% of older adults.
B Hypertension is not caused by a reduction in physical activity.
C Older adults with hypertension should be counselled on limiting fat and salt in their diets; however, ingestion of processed foods high in salt is not the reason that older adult patients often experience hypertension.
D Myocardial damage and venous insufficiency are not the reasons that older adults commonly experience hypertension.
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