The nurse is caring for an older patient. The nurse recognizes that which factors place older adults at higher risk for development of heart failure?
Select all that apply.
1. impaired diastolic filling
2. increased cardiac reserve
3. increased maximal heart rate
4. reduced ventricular compliance
5. high responsiveness to sympathetic nervous system stimulation
Correct Answer: 1, 4
Diastolic filling is impaired because of reduced ventricular compliance. With aging, cardiac function is less responsive to increased stress because cardiac reserve decreases, maximal heart rate is reduced, and the heart becomes less responsive to sympathetic nervous system stimulation.
You might also like to view...
A couple has undergone prenatal testing and their fetus has an identified congenital anomaly. What action by the nurse is best?
A. "I know how you feel; my daughter has a cleft lip." B. "I'm sure you will come to love your baby anyway." C. "It is normal for both of you to be afraid, sad, or angry." D. "You are lucky you found out now and can prepare."
A hospital patient began treatment with interferon alfa-2a several days ago and the care team is pleased with the patient's response at this point in treatment
However, the patient has stated to the nurse that he feels increasingly despondent and claims to have lost all hope of recovering from his disease, despite being a previously-optimistic person. How should the nurse best interpret the patient's statements? A) The patient may have misunderstood the potential benefits of interferon alfa-2a. B) The patient may be having psychological adverse effects of interferon alfa-2a. C) The patient is likely to experience a compensatory period of mania in the coming days. D) The patient is likely becoming aware of psychosocial issues that surround interferon alfa-2a treatment.
The mother of a toddler is frustrated because no matter what she asks of the child, the response is "no.". What can the nurse suggest to the mother to assist with this problem?
A) Pretend she does not hear the child. B) Ask no further questions to the child. C) Tell the child to never to say "no" again. D) Give the child secondary, not primary, choices.
Which client statement may indicate a transference reaction?
A. "I need a real nurse. You are young enough to be my daughter and I don't want to tell you about my personal life." B. "I deserve more than I am getting here. Do you know who I am and what I do? Let me talk to your supervisor." C. "I don't seem to be able to relate to people. I would rather stay in my room and be by myself." D. "My mother is the source of my problems. She has always told me what to do and what to say."