NSG 121 - Health Assessment Exam 3 Question: T/F: During increase activity an elderly person is likely to experience elevated heart rate, bounding pulse, and shortness of breath Answer: False The heart has a decreased response to the sympathetic system so none of these things will occur. What you can see is an increase in systolic blood pressure but that's related to stiffening of the arterial walls not related to the activity level, so the eld erly person is unable to build that type of response. Question: Risk factors most commonly associated with peripheral arterial disease Answer: Diabetes Smoking Age Question: What are some signs of peripheral arterial disease? Answer: Pain during exerti on that is relieved by rest, so when they sit down to put their legs up, their pain goes away Question: What is a condition that we connect to peripheral arterial disease? Answer: Intermittent claudication Question: Two signs of heart disease Answer: - Decreased cardiac function - Fluid overload Question: How would fluid overload and decreased cardiac function present? Answer: Edema, nocturia, chest pain, sob, fatigue with activity Question: If a patient has unilateral acute pain in their leg, swelling, and erythema, what might they be experiencing? Answer: DVT Question: If you suspect that your patient has a DVT, what would you do next as a part of your assessment? Answer: Measure the legs for difference in swelling Question: Should you massage DVT? Answer: No, could throw clot Question: If a patient has a dull aching pain that is chronic in their legs accompanied by edema and warmth, what might they have? Answer: Chronic venous insufficiency
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