NSG 6020-week 4 quiz Test Questions Solved., Exams of Nursing

Download NSG 6020-week 4 quiz Test Questions Solved. and more Exams Nursing in PDF only on Docsity! NSG 6020-week 4 quiz Test Questions Solved. which of the following is the most important question to ask during cardiovascular health history - Answer sudden death of a family member a key symptom of ischemic heart disease is chest pain. However, angina equivalents may include exertional dyspnea. Angina equivalenstare important because - Answer A and B (Women with ischemic heart disease/some patients may have no symptoms) A 55 year old post menopausal woman with a history of hypertension complains of jaw pain on heavy exertion. There were no complaints of chest pain. Her ECG indicates normal sinus rhythm without ST segment abnormalities. Your plan may include - Answer exercise test Jenny is a 24 year old graduate student that presents to the clinic today with complaints of fever, mid sternal chest pain and generalized fatigue for the past two days. She denies any cough or sputum production. She states that when she takes ibuprofen and rest that the chest pain does seem to ease off. Upon examination the patient presents looking very NSG 6020-week 4 quiz Test Questions Solved. ill. She is leaning forward and states that this is the most comfortable position for her. Temp is 102, BP 100/70, heart rate is 120/min and regular. Upon auscultation a friction rub is audible. Her lungs sounds clear. With these presenting symptoms your initial diagnosis would be - Answer pericarditis which symptom is more characteristic of non-cardiac chest pain - Answer pain tends to occur with movement stretching or palpation what is the most common valvular heart disease in the older adult - Answer aortic stenosis 1. Jeff, 48 years old, presents to the clinic complaining of fleeting chest pain, fatigue, palpitations, lightheadedness, and shortness of breath. The pain comes and goes and is not associated with activity or exertion. Food does not exacerbate or relieve the pain. The pain is usually located under the left nipple. Jeff is concerned because his father has cardiac disease and underwent a CABG at age 65. The ANP examines Jeff and NSG 6020-week 4 quiz Test Questions Solved. seconds in the right foot, +1 dorsalis pedis pulse in the right foot, and +2 pulse in left foot. Which of the following is a likely cause of the signs and symptoms? - Answer arterial insufficiency Your patient complains of a feeling of heaviness in the lower legs daily. You note varicosities, edema, and dusky color of both ankles and feet. Which of the following is the most likely cause for these symptoms? - Answer venous insufficiency Your 54 year old patient, Mr. A, presents to your clinic with a 2 day history of severe shoulder pain. On initial assessment you note that in addition to shoulder findings his blood pressure on the 'good' arm is 162/100. You review his history and on his last visit his blood pressure was 120/70. He has a medical history of sleep apnea and has used anabolic steroids when body building as a younger adult. In addition to caring for Mr. A's chief complaint of shoulder pain, you also - Answer Schedule a follow up appointment after pain has subsided to take additional blood pressure readings NSG 6020-week 4 quiz Test Questions Solved. You decide to order labs today to help with the diagnosis and management of hypertension in Mr. A. Which of the following labs are indicated to assist in the medical management of Mr. A if he meets the diagnostic criteria for hypertension? - Answer fasting serum cholesterol panel Lifestyle modifications reduce blood pressure, enhance antihypertensive medication efficacy, and decrease cardiovascular risks. Which lifestyle change will decrease blood pressure the most? - Answer weight reduction Mr. A returns to your clinic and a diagnosis of hypertension is made. He is started on a diuretic and counseled on lifestyle modifications including increasing activity and smoking cessation. On his next visit you note that his blood pressure remains elevated. Before referring to a specialist you should do all of the following except - Answer Determine he has 'white coat' hypertension because his home readings are also elevated NSG 6020-week 4 quiz Test Questions Solved. Mr. A has many issues that seem to be interfering with his health outcomes. In order to negotiate and formulate a patient-centered management plan you take the time to gather more information. This can be started by asking the following question - Answer What do you think caused your hypertension and how has it affected your life? Which of the following is the most important question to ask during cardiovascular health history? - Answer Sudden death of a family member A key symptom of ischemic heart disease is chest pain. However, angina equivalents may include exertional dyspnea. Angina equivalents are important because - Answer A & B only A.Women with ischemic heart disease many times do not present with chest pain B. Some patients may have no symptoms or atypical symptoms. Diagnosis may only be made at the time of an actual myocardial infarction