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NSG2317/ NSG 2317 Health Assessment Final exam solution guide_2022

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NSG2317/ NSG 2317 Health Assessment Final exam solution guide_2022

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NSG2317 Exam Solution guide.
Older adults are less likely to be febrile t/f
- True

Older adult respiratory changes
- •Decreased elastic recoil & early airway closure
•Stiffer chest wall and weak muscles

Older adult cardio changes
- •Increased left atrium size
•S4
•Decreased left ventricular compliance
•Decreased cardiac output

Older adult GI changes
- •Decreased acid production
•Decreased lower esophageal sphincter tone

Older adult derm changes
- •Thinner fragile skin, decreased elastic tissue
•Decreased melanocytes

Older adults have decreased SBP t/f
-F

Older adults may have increased DBP t/f
- True

3 domains of functional assessment
- 1. Activities of Daily Living
2. Instrumental Activities of Daily Living
3. Mobility

A Katz score of 0 is good or bad?

, - Bad, lower means you are very dependent

Cardiac Cycle: Diastole
- Ventricles relax and fill with blood, AV valves open

Cardiac Cycle: Systole
- •Blood is pumped from the ventricles and fills the pulmonary and systemic
arteries
•Heart is filled with blood which raises ventricular pressure and the mitral and
tricuspid valves shut to prevent regurgitation
•Then contraction occurs
•Contents of ventricles ejected, pressure falls
•When pressure falls below pressure in aorta, some blood flows backward toward
the ventricle, causing the aortic valve to swing shut

Arteries (9)
- •Temporal Artery
•Carotid Artery
•Brachial
•Ulnar
•Radial
•Femoral
•Popliteal
•Dorsalis Pedis (DP)
•Posterior Tibial (PT)

Mechanism of Venous Flow (3) –
Low pressure system movement accomplished by:
•(a) the contracting skeletal muscles
•(b) pressure gradient caused by breathing —inspiration makes the thoracic
pressure decrease and abdominal pressure increase
•(c) intraluminal valves - ensure unidirectional flow.

Arterial ischemic ulcer

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