NSG6001 Final Study Guide.QUESTIONS AND WELL ELABORATED SOLUTIONS GRADED A

NSG6001 Final Study Guide.QUESTIONS AND WELL ELABORATED SOLUTIONS GRADED A What are the most common symptoms caused by tachyarrhythmias - ANSWER palpitations For women with known cad and diabetes, which is the most appropriate to assess CAD risk - ANSWER ETT with imaging Of the following, which is the best answer when asked about the advantage of echocardiogram exercise testing over thallium stress testing - ANSWER Results are available more quickly Your patient has uncomplicated pyelonephritis. In deciding your recommended treatment, you consider the most common pathogenic reason for this diagnosis. What pathogen accounts for the majority of pyelonephritis? - ANSWER E. coli What purpose does the principle of fidelity serve - ANSWER Ensures that providers honor their commitment to the patient In CAD after both systolic and diastolic dysfunction have occurred. The typical pattern of chest pain and related EKG changes occur. During an ekg you should expect to see ST segment and T wave changes that are central to demonstration of ischemia occurring relatively late in the ischemic cascade is this true or false - ANSWER true The leads on the ECG showing ischemic changes during or immediately after an ETT can correlate roughly to the culprit artery or arteries with significant CAD. Is this true or false - ANSWER true Skin cancer is the most common malignant neoplasms in males in the US. What is the second leading cause of cancer deaths in men greater than 50 years of age - ANSWER Prostate cancer What ech changes can reduce the specificity of the ETT - ANSWER paced rhythm and resting bundle branch blocks You have confirmed that your patient does indeed have an abdominal aortic aneurysm. In teaching your patient about symptoms to report immediately to the vascular surgeon you instruct the patient to report which of the following - ANSWER back pain or flank pain Which is one of the common causes of a saccular abdominal aneurysm - ANSWER trauma The diagnostic accuracy of stress testing is decreased among women compared to men for what reasons - ANSWER women usually have single vessel or non-obstructive disease population disease management is a term used to describe - ANSWER high prevalence specific diseases You receive a report back on the suspected abdominal aortic aneurysm for your patient. It confirms your suspicion of AAA. The report describes the aneurysm as a symmetric weakness of the entire circumference of the aorta. You know that this form of aneurysm is referred to as what kind of aneurysm - ANSWER Fusiform You practice partner just ordered an exercise echocardiograph DE for a patient with suspected cardiovascular risk. This patient has known resting wall motion abnormalities. Why would this not be the best test to assess this patient's cardiac risk - ANSWER sensitivity is decreased Your 60-year-old male patient arrives for his appointment . He complains of general malaise and fever over the past several days with low back pain. He also states that he is getting up at night more often to urinate and never feels his bladder is completely empty. What differential diagnosis should you consider in this patient - ANSWER acute bacterial prostatitis We all know that collaboration in integral to becoming a successful nurse practitioner. Among collaboration, however, only one can be considered the most important. t collaboration. The one that occurs - ANSWER Between the patient and the nurse practitioner The sensitivity of a routine ETT is effort dependent. What physiological changes occur during effort in the routine ETT - ANSWER Increased coronary blood flow and increased systolic blood pressure A 47 year old female with general complaints of fatigue and shortness of breath show up in your clinic as a referral from another nurse practitioner. Several blood tests and chest x-rays have been completed without any diagnosis or outstanding abnormalities. You decide to order an ETT despite the fact that the recent ecg does not show any abnormalities. From the answers below which would be the best answer to support your decision - ANSWER CAD in women is under diagnosed Your patient underwent an exercise stress test for CAD. There is significant elevation of the ST segment. What do you need to know about these changes to manage your patients care - ANSWER These changes have minimal predictive value for CAD When there is a consequential loss of structural integrity of the abdominal aorta, the resulting issue is what condition - ANSWER AAA You see a 60 year old AAA male in your clinic with a recent diagnosis of HTN. He asks you what he should restrict in his diet. And is particularly interested in limiting his sodium intake. What amount of sodium intake would you recommend on a daily basis for this patient - ANSWER 1.5g/day Why would inability to exercise reduce the specificity of the routine ETT - ANSWER Produces persistent ST segment changes and T wave abnormalities By standard criteria, how is a positive stress test defined - ANSWER Development of a horizontal or down slopping ST segment depression 1mm What are the two types of bradycardia recognized by the American Heart Association - ANSWER Relative and Absolute You see a 75 year old female in your clinic complaining of urinary incontinence. She is otherwise health based upon her last visit. She states that her mother told her this would happen someday because it happen to every woman at some age. What would you tell this patient - ANSWER This is not an expected condition related to aging What do you know regarding ischemia that is confined to only the posterior and or lateral segments of the left ventricle - ANSWER difficult to detect by ETT What 3 conditions definitely alter the results of echocardiography in determining CAD - ANSWER Obesity, rapid heart rate, and lung disease Specifically, when is an ETT considered to be negative - ANSWER Patient exercises to 85% of age predicted maximum heart rate without rate without evidence of induced ischemia All patient even is asymptomatic require risk stratification according to the Framingham risk score. At present ACC/AHA guidelines however do not normally support stress test for symptomatic patients without additional justification. What could be used to justify ETT in an asymptomatic patient - ANSWER Sedentary and wishes to begin aggressive exercise BPH is not a risk factor for prostate cancer. Is this true or false - ANSWER True Spread of genital herpes only occurs during the time period with active lesions. True or false - ANSWER False AAA are often asymptomatic, what percent of AAA are discovered in asymptomatic patient - ANSWER 75% Improvement in the delivery and management of the healthcare are necessary if we are to improve the overall health of this nation's population. Which of the following are identified in your readings as strategic in the movement to improve healthcare system - ANSWER Population management and healthcare practice Two main types of heart failure - ANSWER systolic and diastolic You are in the clinic with your mentor observing exercise test of a 45 year old who has been experiencing slight chest pressure almost daily during exercise. While observing your patient your mentor points out that the left ventricle wall is thinning and there is some hyperkinesia of the ventricular wall. From your time in the clinic you know that this test will be what type of result - ANSWER positive