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NSG6020 week 4 exam with complete solutions 2024_2025
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NSG6020 week 4 exam with complete solutions 2024_2025
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NSG6020 week 4 exam with completesolutions 2024/2025
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 postmenopausal 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 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 hears a mid-systolic click at the 4th ICS
mid-clavicular area. The ANP knows that this is a hallmark sign of: - ANSWER-
mitral valve prolapse
The aging process causes what normal physiological changes in the heart? -
ANSWER-the heart valve thickens and becomes rigid, secondary to fibrosis and
sclerosis
Dan G., a 65-year-old man, presents to your primary care office for the evaluation
of chest pain and left-sided shoulder pain. Pain begins after strenuous activity,
including walking. Pain is characterized as dull, aching; 8/10 during activity,
otherwise 0/10. Began a few months ago, intermittent, aggravated by exercise,
and relieved by rest. Has occasional nausea. Pain is retrosternal, radiating to left
shoulder, definitely affects quality of life by limiting activity. Pain is worse today;
did not go away after he stopped walking. BP 120/80. Pulse 72 and regular.
Normal heart sounds, S1 and S2, no murmurs. Which of the following differential
diagnoses would be most likely - ANSWER-Coronary artery disease with angina
pectoris
a common auscultatory finding in advanced CHF is - ANSWER-S3 gallop rhythm
Your 35-year-old female patient complains of feeling palpitations on occasion.
The clinician should recognize that palpitations are often a sign of - ANSWER-all
of the above
The best way to diagnose structural heart disease/dysfunction non-invasively is -
ANSWER-echocardiogram
During auscultation of the chest, your exam reveals a loud grating sound at the
lower anterolateral lung fields, at full inspiration and early expiration. This finding
is consistent with: - ANSWER-A and B (pneumonia/pleuritis)
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