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Swimming Lowered Blood Pressure In Sedentary Over 50s

Main Category: Hypertension Also Included In: Seniors / Aging; Sports Medicine / Fitness Article Date: 25 Jan 2012 - 4:00 PST

Older adults who don't do much exercise, and whose blood pressure is getting to the point where they may need treatment, should perhaps consider swimming as a way to help bring it back down, at least that is what a small US study of sedentary over-50year-olds might suggest. The study was published early online in The American Journal of Cardiology earlier this month. Swimming is an ideal form of exercise for older, sedentary people because it puts little weight-bearing stress on the body and is not likely to lead to overheating. However, despite this, we know little about the effect this form of exercise has on the arteries and blood pressure, write the authors, from the University of Texas (UT) at Austin. They found that 12 weeks of swimming significantly lowered blood pressure and improved the function of arteries in a group of sedentary, unmedicated over-50s whose blood pressure was on the verge of "unhealthy" (prehypertension) or in stage 1 of hypertension. For their study, Dr Nantinee Nualnim, of UT's Cardiovascular Aging Research Laboratory, and colleagues, recruited 43 sedentary people aged over 50 (average age of 60) who also had prehypertension or stage 1 hypertension but were not on any medication. They randomly assigned them either to do 12 weeks of swimming or 12 weeks of gentle relaxation exercises (the controls). The researchers also took a number of measurements before, during, and at then end the 12 weeks, including measures of height, body weight, body fat, blood pressure, vascular function, blood glucose and cholesterol. Before the 12 weeks, there were no significant differences between the swimmers and the controls. Body mass, body fat (adiposity) and blood levels of glucose and cholesterol did not change in either group throughout the 12 weeks. However, they found that blood pressure (casual systolic) fell from 131 to 122 mm Hg in the swimming group (note that 120 is the "ideal" for a healthy heart, as in 120/80).

in the swimming group.05).There were also significant changes to vascular function.05) Flow-mediated dilation and cardiovagal baroreflex sensitivity improved after the swim training program (p <0. swimming exercise elicits hypotensive effects and improvements in vascular function in previously sedentary older adults. such as the "stiffness" of arteries." But there were no significant changes in any of the measurements in the control group.php . The authors note: "Swimming exercise produced a 21% increase in carotid artery compliance (p <0. The authors conclude: ".." REFERENCE: http://www.medicalnewstoday.

2. The client has ST segment depression on his 12-lead ECG. 3. bloody sputum and long term pulmonary infection. persistent changing cough ANSWER: d. Therefore. Specific instructions on staying cal during an attack c. Incidence of status asthmaticus in children and teens ANSWER: c. The relationship of symptoms and a specific trigger such as physical exercise COPD clients have low oxygen and high carbon dioxide levels. The nurse determines that this would indicate the following: a. Option A is common with asthma. persistent changing cough The most common sign of lung cancer is a persistent cough that changes. injury c. The relationship of symptoms and a specific trigger such as physical exercise d. Injury has a ST segment elevation. option B is common with COPD and option C is common with TB.BOARD EXAM QUESTIONS WITH ANSWER/RATIONALE: (MEDICAL WARD) 1. exertional dyspnea c. air hunger b. Increasing the level of oxygen would decrease the stimulus to breathe. ischemia Depressed ST segment and inverted T-waves represent myocardial ischemia. Which of the following symptoms is most characteristic of a client with a cancer of the lung? a. necrosis b. Discharge teaching should include which of the following: a. Limitations in sports that will be imposed by the illness b. ischemia d. hypoxia is the main stimulus for ventilation is persons with chronic hypercapnea. Lisa is newly diagnosed with asthma and is being discharged from the hospital after an episode of status asthmaticus. Other signs are dyspnea. . cough with night sweats d. nothing significant ANSWER: c.

promote healing Sitz bath provides moist heat to the perineal and anal area to clean. CVA c. b. Sitz bath helps healing with cleaning action and promotion of circulation. subdural hematoma ANSWER: 6. hypocalcemia c. thereby reducing swelling. 5. promote healing b. lower body temperature d. cause swelling ANSWER: 4.4. meningitis d. hypercalcemia ANSWER: 5. hyponatremia b. hypocalcemia Trousseau’s sign is a carpal pedal spasm elicited when a blood pressure cuff is inflated on the arm of a patient with hypocalcemia. brain tumor b. A 36 year old female complains of headache and neck pain. promote healing and drainage and reduce soreness to the area. Although relief of tension can occur. hypernatremia d. meningitis . Red has just returned from the postanesthesia care unit (PACU) from a hemorrhidectomy. His postoperative orders include sitz baths every morning. this effect is secondary to the promotion of healing. The nurse understands that sitz bath is use for: a. The nurse understands that nuchal rigidity is associated with: a. Sitz bath usually has no therapeutic value in lowering body temperature. c. Trousseau’s sign is associated with which electrolyte imbalance? a. relive tension c. The nurse’s assessments reveal painful flexion of the neck to the chest. 6. a.

his blood pressure is 190/100. Upon examination. Relaxing smooth muscle to avoid vasospasms c. b. female over 55 years of age d. The nurse palpates the abdomen which is soft. 7. Which of the following outcomes concerning medication regimen is of highest priority? a. Nurse Fiona is caring a patient with Raynaud’s disease. The nurse teaching the client about behavioral changes. non-tender and auscultates an abdominal pulse. Preventing major disabilities that may occur d. pulse is 118. 9. the abdomen would be tender and firm. female over 55 years of age Lifestyle. should discuss which of the following as a nonmodifiable risk factor for atherosclerosis? a. A 76 year old man enters the ER with complaints of back pain and feeling fatigued. Relaxing smooth muscle to avoid vasospasms . which can affect development of atherosclerosis. which is pain on the flexion of the chin to chest. cigarette smoking and hyperlipidemia can be changed by changing behaviors. CHF c. Aneurysm ANSWER: 8. Secondary hypertension d. Avoiding lesions on the feet ANSWER: 9. The most significant sign is the audible pulse in the abdominal area. c. hyperlipidemia c. cigarette smoking b.A patient with meningitis will exhibit signs that include photophobia and nuchal rigidity. 8. The most likely diagnosis is: a. Aneurysm The symptoms exhibited by the client are typical of an abdominal aortic aneurysm. If hemorrhage were present. Controlling the pain once vasospasm occur b. and hematocrit and hemoglobin are both low. d. sedentary lifestyle ANSWER: 7. Buerger’s disease b.

nurseslabs/boardexam-questions/1234529. urinary catheter patency The patient is complaining of symptoms of autonomic dysreflexia. 10. urinary catheter patency ANSWER: 10.The major task of the health care team is to medicate the client drugs that produce smooth muscle relaxation. presence of babinski reflex c. REFERENCE: www. The nurse should also assess for? a. Roberto Robles complains of a severe headache and is extremely . The nurse checks his vital signs and finds him to have a heart rate of 57 bpm and a blood pressure of 230/110 mmHg. which will decrease the vasospasm and increase the arterial flow to the affected part. Checking the patency of the urinary catheter will check for bladder distention. d. which consists of the triad of hypertension. fecal incontinence d. Mr. bradycardia and a headache. Major causes of autonomic dysreflexia include urinary bladder distention and fecal impaction. presence of bowel sounds b. The drugs used are calcium antagonists.