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WorksheetsGeriaP2_Card
Total questions: 20
Worksheet time: 10mins
A nurse is assessing a 78-year-old patient and notes kyphosis. Which cardiovascular assessment challenge should the nurse anticipate?
Inability to palpate peripheral pulses
Altered chest landmarks affecting heart sound auscultation
Increased visibility of jugular vein distention
Enhanced detection of heart murmurs
Which age-related cardiovascular change most directly contributes to the development of heart failure in older adults?
Increased cardiac output response to stress
Myocardial hypertrophy with increased collagen and scarring
Enhanced elastin production in heart muscle
Improved valvular function
An older adult patient experiences dizziness when moving from lying to standing position. This finding is most likely related to which age-related cardiovascular change?
Increased cardiac output
Enhanced baroreceptor sensitivity
Arterial stiffening and decreased cardiac reserve
Improved venous return mechanisms
A 72-year-old patient has a newly detected systolic murmur. Based on age-related cardiovascular changes, the nurse understands this finding:
Always indicates significant cardiovascular disease
Requires immediate cardiothoracic surgery consultation
May be normal due to valvular rigidity from calcification
Suggests acute myocardial infarction
When caring for an older adult with cardiovascular compromise, which nursing intervention best addresses age-related circulatory changes?
Encouraging rapid position changes to improve circulation
Making position changes gradually from lying to sitting to standing
Maintaining bed rest to reduce cardiac workload
Administering vasoconstrictors prophylactically
Which assessment finding in an older adult would most likely indicate decreased cardiac output?
Increased exercise tolerance
Warm, dry skin with good color
Fatigue, ankle swelling, and mild shortness of breath
Strong, bounding peripheral pulses
An 80-year-old patient presents with pedal pulses that are diminished. This finding is most consistent with which age-related vascular change?
Improved arterial elasticity
Arterial stiffening and progressive fibrosis
Enhanced venous return
Decreased blood viscosity
Which cardiovascular problem occurs 10 times more often in adults older than 75 compared to younger adults?
Coronary artery disease
Hypertension
Congestive heart failure
Arrhythmias
A nurse is monitoring an older adult on digitalis therapy. Which assessment technique is most appropriate for detecting potential complications?
Taking radial pulse for 15 seconds
Taking apical pulse for 1 minute
Checking blood pressure in one arm only
Assessing peripheral pulses bilaterally
Which age-related change most significantly contributes to widened pulse pressure in older adults?
Decreased systolic blood pressure
Increased diastolic blood pressure
Increased systolic BP with possible increase or decrease in diastolic BP
Improved arterial compliance
An older adult patient complains of leg pain when walking that is relieved by rest. This symptom is most likely related to which age-related vascular change?
Improved peripheral circulation
Enhanced oxygen delivery to tissues
Arterial stiffening leading to intermittent claudication
Increased venous return efficiency
Which nursing intervention is most appropriate for managing dependent edema in an older adult with cardiovascular compromise?
Restricting all fluid intake
Elevating legs and using non-restrictive stockings
Encouraging prolonged bed rest
Applying tight compression bandages
A 76-year-old patient is experiencing tachycardia. The nurse understands this physiological response is primarily due to:
Decreased oxygen demand by body tissues
Enhanced cardiac contractility with aging
The heart compensating for lowered arterial oxygen tension
Improved efficiency of oxygen utilization
Which assessment finding would be most concerning in an older adult with known cardiovascular disease?
Systolic murmur without other symptoms
Mild ankle edema at end of day
Inflamed, painful varicosities with cordlike appearance
Slight decrease in exercise tolerance
When teaching an older adult about blood pressure management, which point is most critical for preventing falls?
Take medications exactly as prescribed without modification
Work with doctor to find best management approach to avoid hypotension
Monitor blood pressure only when feeling symptomatic
Increase medication dose if blood pressure remains elevated
Which lifestyle factor most significantly influences cardiovascular health outcomes in older adults, regardless of age?
Genetic predisposition alone
Geographic location
Lifetime health behaviors including diet, exercise, and smoking
Educational background
An older adult patient shows signs of cellular aging and fibrosis of the cardiac conduction system. Which ECG changes should the nurse expect?
Increased amplitude of QRS complex
Shortened PR, QRS, and QT intervals
Decreased amplitude of QRS complex and slight lengthening of intervals
Perfectly regular cardiac rhythms
Which nursing diagnosis would be most appropriate for an older adult experiencing decreased cardiac reserve?
Excess fluid volume related to increased cardiac output
Activity intolerance related to decreased cardiac output
Enhanced gas exchange related to improved circulation
Risk for injury related to increased energy levels
When assessing blood pressure in an older adult, which technique demonstrates best practice?
Taking blood pressure in one arm only
Using the smallest appropriate cuff size
Taking blood pressure in both arms
Measuring only when patient reports symptoms
Which intervention best addresses the goal of reducing cardiac workload in an older adult with cardiovascular compromise?
Encouraging high-intensity exercise daily
Maintaining dietary restrictions including low salt intake
Increasing fluid intake to improve circulation
Promoting bed rest for extended periods
