Nr 507 Midterm Exam 2 Review Graded A+ With Correct Solutions

NR 507 MIDTERM EXAM 2 REVIEW _____________________________ is a predominant cause of secondary immune deficiencies worldwide. - Malnutrition A 40-year old male reports to the primary care office with a chief complaint of dyspnea, especially with activity, over the last 5 days. He also notices that several times during the last two days that he could feel his heart "pounding and racing". On collecting the medical history, the patient indicates that he had rheumatic heart disease as a young child but remembers little about it. On exam, the NP determines that he is tachycardic with a heart rate of 120 beats/minute that is irregularly irregular. A low-pitched murmur is also auscultated and is heard most prominently at the apex. The NP also notes jugular vein distention (JVD) and bilateral crackles in the lung bases. The NP performs an ECG in the office that reveals atrial fibrillation and left atrial hypertrophy. Mitral Regurgitation Mitral Valve Prolapse Aortic Stenosis Mitral Stenosis - Mitral Stenosis A 60-year-old male reports to the primary care office with "shortness of breath" that started a few days after being released from the hospital following angioplasty and stent placement. Upon exam, the NP observes that the patient does have dyspnea and jugular vein distention. Crackles are also noted in lung bases bilaterally. A blowing holosystolic murmur is also heard at the heart's apex with radiation into the axilla. Aortic Regurgitation Mitral Regurgitation Mitral Valve Stenosis Mitral Valve Prolapse - Mitral Regurgitation A 64-year old female reports to the primary care office with a complaint of "fainting". She reported that the episode occurred while she was engaged in her usual low impact aerobics class. She also noticed, for the first time, during exercise that her heart "hurt". The NP conducts a symptom analysis of the chest pain and determined that the patient describes it as chest pressure. The patient reports no dyspnea with exercise and denies orthopnea or paroxysmal nocturnal dyspnea. On examination, the NP notes that all vital signs are normal, lungs are clear to auscultation; There is a laterally displaced, sustained apical impulse and a grade 4/6 mid-systolic crescendo-decrescendo murmur, heard loudest at the base and radiating to the neck. There is also an S4 gallop. no peripheral edema noted. There is a laterally displaced, sustained apical impulse and a grade 4/6 mid-systolic crescendo-decrescendo murmur, heard loudest - Aortic Stenosis A deficiency of intrinsic factor will result in: Pernicious anemia Iron deficiency anemia Anemia of chronic disease Aplastic anemia - Pernicious anemia A lung volume measurement that indicates air trapping in a COPD patient is: Decreased residual volume. Decreased total lung volume. Normal residual volume. Increase residual volume. - Increase residual volume. A patient with chronic bronchitis is at risk for developing pneumonia due to: Hypoxemia. Overactive cilia in the lungs. Mucus plugs. Inability to cough. - Mucus plugs. A patient with chronic bronchitis is most likely to experience: Respiratory alkalosis due to inability to exhale CO2. Respiratory acidosis due to decreased intake of O2. Respiratory acidosis due to inability to exhale CO2. Respiratory alkalosis due to inability to exhale CO2 - Respiratory acidosis due to inability to exhale CO2. A patient with human immunodeficiency virus (HIV) was admitted to the acute care facility with difficulty breathing. He is diagnosed with Pneumocytis carinii. Pneumocystis carinii an example of: A primary immune disease. A secondary immune disease. - A secondary immune disease