The effect of aging on the cardiovascular system is evidenced by which symptoms in an older adult performing a stress test? (Select all that apply.)
a. Chest pain during exercise
b. Slow increase of heart rate in response to stress
c. Exercise induce dyspnea
d. Slow decrease of heart rate post exercise
e. Stress-induced arrhythmias
B, D
During stress or stimulation, the heart rate increases more slowly; however, once elevated, it takes longer to return to the resting rate. The other manifestations are not related to age-induced physiologic changes.
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A firefighter is brought to the emergency department with complaints of headache, weakness, shortness of breath, cough, and chest pain. During the assessment of this client, the nurse realizes the client should be evaluated for:
1. cyanide poisoning. 2. pulmonary emboli. 3. pneumonia. 4. stroke.
Which is the most often used site for taking a pulse?
a. The radial site b. The apical site c. The carotid site d. The brachial site
The nurse is caring for a client with manifestations of dilated cardiomyopathy. When planning care, which consideration would the nurse make?
A) Place bed in a high or semi-high Fowler's position as needed. B) Assist client to bathroom every 2 hours. C) Instruct client to avoid strenuous activity. D) Assess abdominal girth daily.
The nurse is caring for a patient in early acute respiratory distress syndrome (ARDS). Which finding would indicate that the disease is progressing?
1. Increased lung compliance 2. Decrease in heart rate 3. Hypoxemia refractory to oxygen therapy 4. Respiratory acidosis