WGU D118 Adult Primary Care: Questions & Answers: Complete Solution

A patient prescribed a beta blocker medication is in the emergency department with reports of syncope, shortness of breath, and hypotension. A cardiac monitor reveals a heart rate of 35 beats per minute. Which medication may be used to stabilize this patient? a. Adenosine b. Amiodarone c. Atropine d. Epinephrine (- ANS: D Epinephrine is indicated if unstable bradycardia is caused by beta blockers. This patient is symptomatic and unstable and should be treated. Adenosine and amiodarone are used to treat tachycardia. Atropine is used for some types of bradycardia, but not when induced by beta blockers. All of the following are common symptoms of an abdominal aortic aneurysm except for: A) Chest pain B) Abdominal pain C) Pulsating abdominal mass D) Low back pain (- (A) Chest pain is not a common symptom of an abdominal aortic aneurysm. Common symptoms of an abdominal aortic aneurysm include a pulsating feeling near the navel, a deep constant pain in the abdomen or the side of the abdomen, and low back pain (source: ). All of the following are risk factors for developing an abdominal aortic aneurysm except for: A) Smoking B) Anemia C) Hypertension D) Being male (- (B) Smoking, hypertension, and being male all are risk factors for an abdominal aortic aneurysm. Other risk factors include an age of 65 or older, a family history of abdominal aortic aneurysms, atherosclerosis, and people who have aneurysms in other parts of the body A patient reports abdominal and back pain with anorexia and nausea. During an exam, the provider notes a pulsatile abdominal mass. What is the initial action? a. Immediate referral to a thoracic surgeon b. Ordering computerized tomography (CT) angiography c. Scheduling a magnetic resonance imaging (MRI) to evaluate for aortic disease d. Ultrasound of the mass to determine size (US) (- ANS: D This patient has symptoms consistent with an aortic aneurysm. The initial step is to determine the size of the aneurysm; this can be done by US. Immediate referral is not necessary. MRI and CT diagnostic tests are ordered before surgery to evaluate the characteristics of the aneurysm. A 70-year-old patient presents with an aortic aneurysm measuring 5.0 cm. The patient has poorly controlled hypertension