NR 603 Week 3 Quiz (Jan 2021) | Already Graded A+ | Chamberlain University College of Nursing

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An 82 year old obese female patient presents to the clinic complaining of gradually increasing shortness of breath, weight gain of 4 pounds in the last week and atrial fibrillation on EKG. The most l... ikely cause of her symptoms is: Right sided heart failure (Diastolic Dysfunction) Which of the following drugs does the 8th Joint National Committee (JNC 8) 2014 Evidence Based Guidelines for the Management of High Blood Pressure in Adults recommend for the initial treatment for Caucasian males with microalbuminuria? Angiotensin-converting enzymes (ACE inhibitors) You are reviewing the labs of a 50 year female patient who presented to you for a physical exam. You note, upon review of her lab, that her triglycerides are 670. Triglyceride levels over 500mg/dl raise an immediate concern for which of the following disorders: Acute pancreatitis This hypertension drug is the first choice for diabetic and renal failure patients. ACE inhibitors A 52 year old caucasian male with a past medical history of COPD comes in for follow up of his Stage 2 HTN. Hydrochlorothiazide is at the maximum dose and a new medication needs to be added. Which medication would be the best second line therapy? An Ace Inhibitor such as Lisinopril A 60 year old male with a history of Type 2 Diabetes and HTN comes in for a follow up Blood Pressure check to evaluate the recent medication/diet/exercise plan you prescribed at his visit 3 months ago. His BMI is 20. His Blood Pressures sitting and standing are: 138/80mmhg 132/76mmhg What is the best analysis of the prescribed treatment plan? His Blood Pressure is within JNC 8 guidelines and so no adjustments should be made at this time Exercise Tolerance Test (ETT) is the first line approach to detecting CAD in stable patients. However, ETT is contraindicated for some patients. Knowing when to consult with specialists is an important part of NP practice. Which patient should be referred to Cardiology prior to ordering an Exercise Tolerance Test? 60 yr old male with cardiac chest pain Symptomatic Congestive Heart Failure A sedentary 58 year old African American female is here for her annual visit. Her VS are BP 130/70, AR 82, RR 18, BMI 30, Ht 5.2, works as an accountant in a law firm. Her past medical history includes Asthma and Psoriasis and she states she'd like to begin training for a 10k marathon with some ladies at work. Per ACA/AHA guidelines your recommendations include: 12 lead EKG and an Exercise Stress test A 58-year-old female presents to the clinic for a physical exam. She has well-controlled hypertension, a BMI of 32, and a total cholesterol is 235. How many risk factors for coronary artery disease does she have? 4 A 60 year old woman comes in to the clinic complaining of nausea, shortness of breath and a dull pain in the middle of her back while playing tag in the yard with her grandchildren yesterday. Her past medical history includes CAD, Type 2 DM, and HTN. Lab work reveals negative Troponins. The most appropriate diagnostic testing includes: Stress test with imaging [Show More]

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