NSG6020 week 4 quiz
Exam/Questions and answers
which of the following is the most important question to ask during
cardiovascular health history - -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 - -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 - -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 - -pericarditis
-which symptom is more characteristic of non-cardiac chest pain - -pain
tends to occur with movement stretching or palpation
-what is the most common valvular heart disease in the older adult - -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: - -mitral valve prolapse
-The aging process causes what normal physiological changes in the heart? -
-the heart valve thickens and becomes rigid, secondary to fibrosis and
sclerosis
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