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Exam (elaborations)

NURS 6560 Midterm exam 1

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Question I1 S. Iis Ia I59-year-old Ifemale Iwho Ihas Ibeen Ifollowed Ifor Iseveral Iyears Ifor Iaortic Iregurgitation. ISerial Iechocardiography Ihas Idemonstrated Inormal Iventricular Ifunction, Ibut Ithe Ipatient Iwas Ilost Ito Ifollow-up Ifor Ithe Ilast I16 Imonths Iand Inow Ipresents Icomplaining Iof Iactivity Iintolerance Iand Iweight Igain. IPhysical Iexamination Ireveals Ia Igrade IIV/VI Idiastolic Iaortic Imurmur Iand I2+ Ilower Iextremity Iedema Ito Ithe Imidcalf. IThe IAGACNP Iconsiders Iwhich Iof Ithe Ifollowing Ias Ithe Imost Iappropriate Imanagement Istrategy? A. Serial Iechocardiography Ievery I6 Imonths B. Begin Ia Icalcium Ichannel Iantagonist C. Begin Ian Iangiotensin Iconverting Ienzyme I(ACE) Iinhibitor D. Surgical Iconsultation Iand Iintervention Question I2 An Iascending Ithoracic Ianeurysm Iof I I5.5 Icm Iis Iuniversally Iconsidered Ian Iindication Ifor Isurgical Irepair, Igiven Ithe Ipoor Ioutcomes Iwith Isudden Irupture. IRegardless Iof Ithe Ianeurysm’s Isize, Iall Iof Ithe Ifollowing Iare Iadditional Iindications Ifor Iimmediate Ioperation Iexcept: A. Comorbid IMarfan’s Isyndrome B. Enlargement Iof I I1 Icm Isince Idiagnosis C. Crushing Ichest Ipain D. History Iof Igiant Icell Iarteritis


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