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NSG6420 Week 4 Quiz

NSG6420 Week 4 Quiz Quiz 4 Return to deck 1. Where is the point of maximal impulse (PMI) normally located? In the left 5th intercostal space, 7 to 9 cm lateral to the sternum 2. Which of the following correlates with a sustained, high-amplitude point of maximal impulse (PMI)? 
      Hyperthyroidism
      Anemia
      Fever
      Hypertension 3. A 68-year-old woman with hypertension and diabetes is seen by the nurse practitioner for a dry cough that worsens at night when she lies in bed. She has shortness of breath, which worsens when she exerts herself. The patient’s pulse rate is 90/min and regular. The patient has gained 6 lbs over the past two months. She is on a nitroglycerine patch and furosemide daily. The explanation for her symptoms is: Kidney failure
Congestive heart failure Angiotensin-converting enzyme (ACE) inhibitor induced coughing
Thyroid disease 4. During a routine physical exam of a 90 year old woman, a low-pitched diastolic murmur grade II/VI is auscultated.  It is located on the fifth intercostal space on the left side of the midclavicular line. Which is the following is the correct diagnosis? 5. You are performing a cardiac examination on a patient with shortness of breath and palpitations. You have the patient turn onto his left side in the left lateral decubitus position to listen to the heart. Which of the following valvular defects is best heard in this position? Mitral 6. You are concerned that a patient has an aortic regurgitation murmur. Which is the best position to accentuate the murmur? Upright, but leaning forward 7. A 78-year-old retired seamstress comes to the office for a routine check-up. You obtain an ECG (electrocardiogram) because of her history of hypertension. You diagnose a previous myocardial infarction and ask her if she had any symptoms related to this. Which of the following symptoms would be more common in this patient's age group for an acute myocardial infarction? Syncope 8. You are evaluating a 40-year-old banker for coronary heart disease risk factors. He has a history of hypertension, which is well-controlled on his current medications. He does not smoke; he does 45 minutes of aerobic exercise five times weekly. You are calculating his 10-year coronary heart disease risk. Which of the following conditions is considered to be a coronary heart disease risk equivalent? Peripheral arterial disease 9. Which of the following is a clinical identifier of metabolic syndrome? 10. 
The nurse is participating in a health fair and performing cholesterol screens. One person has hypercholesterolemia. She is concerned about her risk for developing heart disease. Which of the following factors is used to estimate the 10-year risk of developing coronary heart disease Gender men have a higher risk than women. The other factors are less significant. 11. A 58-year-old teacher presents to your clinic with a complaint of breathlessness with activity. The patient has no chronic conditions and does not take any medications, herbs, or supplements. Which of the following symptoms is appropriate to ask about in the cardiovascular review of systems? Orthopnea 12. You notice a patient has a strong pulse and then a weak pulse. This pattern continues. Which of the following is likely? 13. cardiac tamponade excess fluid in pericardial cavity - caused by blunt trauma, pericarditis, myocardial rupture; life-threatening 14. Radiological findings with severe left heart failure cardiomegaly, pulmonary artery engorgement, interstitial pulmonary edema, bat;s wings pattern, and pleural effusion 15. You find a bounding carotid pulse on a 62-year-old patient. Which murmur should you search out? Aortic insufficiency 16. During a routine physical exam of a 90-year-old woman, a low-pitched diastolic murmur Grade II/VI is auscultated. It is located on the fifth intercostal space on the left side of the midclavicular line. Which of the following is the correct diagnosis? 17. Grade II/VI is auscultated. It is located on the fifth intercostal space on the left side of the midclavicular line. 18. Mitral regurgitation Systolic murmur 19. mitral stenosis a diastolic murmur that creates an opening snap soon after S2, followed by a low-pitch "rumbling" murmur 20. aortic regurtation 21. tricuspid regurgitation 22. waist size 38 in a male 23. BP 134/88 for a male Prehypertension 24. BP 128/84 in a female 25. You are screening people at the mall as part of a health fair. The first person who comes for screening has a blood pressure of 132/85. How would you categorize this Prehypertesion 26. How should you determine whether a murmur is systolic or diastolic? Palpate the carotid pulse. 27. Where is the point of maximal impulse (PMI) normally located?Term In the left fifth intercostal space, 7 cm to 9 cm lateral to the sternum 28. When listening to a soft murmur or bruit, which of the following may be necessary? Asking the patient to hold their breath.
      Asking the patient in the next bed to turn down the TV.
      Checking your stethoscope for air leaks.
      All of the above. 29. On examination, you find a bounding carotid pulse on a 62-year-old patient. Which murmur should you suspect? 30. Term Definition

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