Nursing · NCLEX-RN

Gerontological Nursing

Age-related physiologic changes, polypharmacy risk, and fall prevention concepts specific to caring for older adults.

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What happens to arterial elasticity with normal aging?
It decreases (vessel walls stiffen).
Why does systolic blood pressure tend to rise in older adults?
Stiffened, less elastic arteries raise systolic pressure.
How does aging affect the heart's ability to increase output during physical or emotional stress?
Cardiac reserve decreases, so output rises more slowly and to a lesser degree.
How does decreased baroreceptor sensitivity in older adults affect blood pressure regulation?
It blunts the reflex response to position changes, increasing orthostatic hypotension risk.
How does vital capacity change with normal aging?
It decreases.
How does the cough reflex change with aging, and why does it matter?
It weakens, raising the risk of respiratory infection and aspiration.
How does glomerular filtration rate (GFR) change with normal aging?
It decreases.
Why is renal drug excretion reduced in older adults?
Decreased renal blood flow and GFR slow how quickly drugs are cleared.
How does reduced hepatic blood flow in older adults affect drug metabolism?
It reduces first-pass metabolism, so more active drug reaches circulation.
How does gastric acid production change with normal aging?
It decreases.
How does slowed GI motility in older adults commonly present clinically?
Increased risk of constipation.
How does bone density change with normal aging?
It decreases, raising fracture risk.
What term describes the age-related loss of skeletal muscle mass and strength?
Sarcopenia.
Presbyopia is the age-related decline in the eye's ability to ____.
focus on near objects
Presbycusis is age-related ____, typically affecting high-frequency sounds first.
hearing loss

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