During an assessment the nurse determines that a 93-year-old patient is demonstrating age-related changes in the tunica intima layer of the vascular system. What did the nurse assess to make this clinical determination?

Select all that apply.

1. tachycardia
2. postural hypotension
3. weak peripheral pulses
4. prominent neck and hand veins
5. elevated systolic blood pressure


Correct Answer: 2, 4, 5
Age-related changes in the tunica intima of blood vessels cause fibrosis, calcium and lipid accumulation, and cellular proliferation. These changes cause an increase in systolic blood pressure. Changes in baroreceptor function within the arteries lead to postural hypotension. Vessels in the head, neck, and extremities are more prominent. Tachycardia is a result of reduced myocardial efficiency and contractility. Weak peripheral pulses are not an expected age-related change in the vascular system.

Nursing

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