APEA Management QBank-
Cardiovascular
A 50-yr-old patient with hypertension has taken hydrochlorothiazide 25 mg every day for the
beyond 4 weeks. How ought to the nurse practitioner continue?
2/2 - 155/ninety five, 69 bpm
3/2 - one hundred forty five/ninety, sixty six bpm
Wait 4 weeks before making a dosage alternate.
Increase the hydrochlorothiazide to 50 mg every day.
Add a drug from some other class to the day by day 25 mg hydrochlorothiazide.
Stop the hydrochlorothiazide and start a drug from a unique magnificence. - ANS-Add a drug
from some other magnificence to the every day 25 mg hydrochlorothiazide
Increasing the dose of HCTZ to 50 mg every day will not result in a lower in BP, best an
increase in potassium loss. Adding a drug from a exceptional magnificence is a higher
preference
A 74-year-old who retired as a store clerk closing yr would like to start an exercising program.
She tells the nurse practitioner that she would love to begin on foot 15-20 mins every day.
Which declaration is accurate concerning the patient?
She need to have a stress test previous to starting up a strolling program.
She need to have an EKG accomplished in the sanatorium these days.
She does no longer want any testing because she is asymptomatic.
She have to have labs and EKG accomplished prior to starting. - ANS-She does now not need
any testing because she is asymptomatic.
Evidence does no longer support routine EKG or cardiac trying out in patients who're
asymptomatic
Should be knowledgeable on signs to look at for together with stopping if chest ache or
shortness of breath develops
A seventy five-year-vintage has isolated systolic hypertension. She started out on amlodipine 4
weeks in the past. She states that seeing that then, she has evolved urinary incontinence. What
is the nurse practitioner's assessment?
This is unrelated to her new medicinal drug.
It is coincidental.
She may additionally have underlying urinary tract pathology.
, It might be related to amlodipine. - ANS-It is probably associated with amlodipine.
A 75-yr-old affected person with longstanding hypertension takes an ACE inhibitor and a
thiazide diuretic daily. He has advanced dyspnea on exertion and peripheral edema over the
past numerous days. This in all likelihood shows:
worsening hypertension.
Improvement of coronary heart failure (HF).
Noncompliance with medicine.
Acute myocardial infarction. - ANS-improvement of heart failure (HF).
A 77-year-vintage patient has had an increase in blood pressure since the closing exam. The
blood stress readings are supplied. If medication is to be began in this patient, what might be a
terrific first choice?
Last exam- one hundred forty four/ninety
Today- 168/88
ACE inhibitor
Beta blocker
Calcium channel blocker
Thiazide diuretic - ANS-Calcium channel blocker
A function of an ACE inhibitor-induced cough is that it:
is mildly efficient.
Is worse in the dead of night.
Commonly begins inside 2 weeks of starting remedy.
Is greater commonplace in men. - ANS-usually begins inside 2 weeks of starting remedy
A child's resting coronary heart fee is predicted to be between 60 and a hundred beats in step
with minute once he reaches:
4 years of age.
6 years of age.
10 years of age.
12 years of age. - ANS-10 years of age
A common aspect impact of thiazide diuretics is:
prostatitis.
Erectile disorder.
Fatigue.
Hyperkalemia. - ANS-erectile disorder
particularly chlorthalidone
Cardiovascular
A 50-yr-old patient with hypertension has taken hydrochlorothiazide 25 mg every day for the
beyond 4 weeks. How ought to the nurse practitioner continue?
2/2 - 155/ninety five, 69 bpm
3/2 - one hundred forty five/ninety, sixty six bpm
Wait 4 weeks before making a dosage alternate.
Increase the hydrochlorothiazide to 50 mg every day.
Add a drug from some other class to the day by day 25 mg hydrochlorothiazide.
Stop the hydrochlorothiazide and start a drug from a unique magnificence. - ANS-Add a drug
from some other magnificence to the every day 25 mg hydrochlorothiazide
Increasing the dose of HCTZ to 50 mg every day will not result in a lower in BP, best an
increase in potassium loss. Adding a drug from a exceptional magnificence is a higher
preference
A 74-year-old who retired as a store clerk closing yr would like to start an exercising program.
She tells the nurse practitioner that she would love to begin on foot 15-20 mins every day.
Which declaration is accurate concerning the patient?
She need to have a stress test previous to starting up a strolling program.
She need to have an EKG accomplished in the sanatorium these days.
She does no longer want any testing because she is asymptomatic.
She have to have labs and EKG accomplished prior to starting. - ANS-She does now not need
any testing because she is asymptomatic.
Evidence does no longer support routine EKG or cardiac trying out in patients who're
asymptomatic
Should be knowledgeable on signs to look at for together with stopping if chest ache or
shortness of breath develops
A seventy five-year-vintage has isolated systolic hypertension. She started out on amlodipine 4
weeks in the past. She states that seeing that then, she has evolved urinary incontinence. What
is the nurse practitioner's assessment?
This is unrelated to her new medicinal drug.
It is coincidental.
She may additionally have underlying urinary tract pathology.
, It might be related to amlodipine. - ANS-It is probably associated with amlodipine.
A 75-yr-old affected person with longstanding hypertension takes an ACE inhibitor and a
thiazide diuretic daily. He has advanced dyspnea on exertion and peripheral edema over the
past numerous days. This in all likelihood shows:
worsening hypertension.
Improvement of coronary heart failure (HF).
Noncompliance with medicine.
Acute myocardial infarction. - ANS-improvement of heart failure (HF).
A 77-year-vintage patient has had an increase in blood pressure since the closing exam. The
blood stress readings are supplied. If medication is to be began in this patient, what might be a
terrific first choice?
Last exam- one hundred forty four/ninety
Today- 168/88
ACE inhibitor
Beta blocker
Calcium channel blocker
Thiazide diuretic - ANS-Calcium channel blocker
A function of an ACE inhibitor-induced cough is that it:
is mildly efficient.
Is worse in the dead of night.
Commonly begins inside 2 weeks of starting remedy.
Is greater commonplace in men. - ANS-usually begins inside 2 weeks of starting remedy
A child's resting coronary heart fee is predicted to be between 60 and a hundred beats in step
with minute once he reaches:
4 years of age.
6 years of age.
10 years of age.
12 years of age. - ANS-10 years of age
A common aspect impact of thiazide diuretics is:
prostatitis.
Erectile disorder.
Fatigue.
Hyperkalemia. - ANS-erectile disorder
particularly chlorthalidone
