NUR 612 EXAM 2 QUESTIONS COMPLETE AND CORRECT ANSWERS

NUR 612 EXAM 2 QUESTIONS COMPLETE AND CORRECT ANSWERS A patient comes to the health-care provider office for a checkup. The nurse practitioner notes that the patient is 67 years old and is presenting symptoms of dizziness, orthopnea, and edema. The nurse practitioner begins a focused assessment of the: 1. Cardiovascular system. 2. Respiratory system. 3. Neurological system. 4. Reproductive system. 1. Cardiovascular system. The nurse practitioner knows that risk factors for coronary artery disease (CAD) include atherosclerosis. The nurse practitioner includes teaching on these factors that can be remediated to help prevent CAD: 1. Low blood pressure. 2. Age. 3. Advanced age and male gender. 4. Cholesterol levels and smoking. 4. Cholesterol levels and smoking. Mr. Thomas comes in for a health examination with his nurse practitioner. When the nurse practitioner measures his blood pressure, the systolic is 150 mm and the diastolic is 80 mm. When Mr. Thomas asks if that is a good pressure for him, the nurse practitioner responds: 1. It is normal for your age. 2. Isolated hypertension is usually identified by a systolic blood pressure (SBP) higher than 160 mm Hg. 3. When evaluating blood pressure, a higher diastolic blood pressure (DBP) is risky. 4. There is a risk of a cardiovascular event for you with an SBP of 150 mm Hg. 2. Isolated hypertension is usually identified by a systolic blood pressure (SBP) higher than 160 mm Hg. A 58-year-old man is being seen by his nurse practitioner for a cardiac work-up. His cholesterol is 320 mg/d. The nurse practitioner includes teaching about lowering his cholesterol by discussing blood levels and dietary choices. The nurse practitioner says which of the following? 1. Your cholesterol level is above normal for your age and we need to address how to lower it. 2. We will discuss food choices that will raise your LDL levels. 3. We will discuss food choices that will lower your HDL levels. 4. The effects of high cholesterol levels will not be a factor in cardiac disease after you turn 60 years old. 1. Your cholesterol level is above normal for your age and we need to address how to lower it. Mr. Borden is 79 years old and lives with his daughter. The daughter provides excellent care for her father and wants to know which changes in his heart and circulatory system are due to aging and which are due to lifestyle choices. The nurse practitioner replies: 1. The size of the heart increases with age. 2. The left ventricle hypertrophies in response to increasing in age. 3. The activity of the heart decreases in its ability to deal with stress, as well as to provide physical strength as one ages. 4. The patient's diet affects the ability of the heart to balance blood pressure. 3. The activity of the heart decreases in its ability to deal with stress, as well as to provide physical strength as one ages. The nurse practitioner sees a patient in the emergency department with reports of chest pain and nausea. To analyze the patient's condition, what further information is needed? 1. Whether there has been constipation. 2. A description of the pain. 3. Information regarding last food intake. 4. Information regarding urinary difficulties. 2. A description of the pain. The nurse practitioner and a student are examining the apical pulse of an 82-year-old man. The student perceives that there is an S4 sound. The nurse practitioner interprets that this is likely: 1. An early ventricular filling. 2. Heart blockage. 3. Mitral regurgitation. 4. Normal, due to the man's age. 4. Normal, due to the man's age. The nurse practitioner identifies a late cardiac murmur in an older adult patient. A student nurse asks what condition this suggests. The nurse practitioner responds that this kind of murmur is most often due to which of the following? Select all that apply 1. Weakening valves 2. Papillary muscle dysfunction 3. Mitral annular calcification 4. Heart blockage 5. Mitral stenosis 2. Papillary muscle dysfunction 3. Mitral annular calcification Ms. Jameson, 72 years old, comes to the clinic with concerns about her breathing. She states that she is having trouble with mucus collection and difficulty coughing it out. The nurse practitioner suggests which of the following? Select all that apply. 1. As you get older, the tissue in your lungs is not as flexible to aid in exhaling. 2. The muscles that help to inhale become stronger as you age. 3. The body contains less water as you age, and the mucus begins to dry out. 4. As you get older, there is an increase in the exchange of gases between the lungs and the blood vessels. 5. The cough reflex is normal, but the mucus is too thick 1. As you get older, the tissue in your lungs is not as flexible to aid in exhaling. 3. The body contains less water as you age, and the mucus begins to dry out. The nurse practitioner is seeing patients in the respiratory clinic. An 85-year-old woman comes in with concerns about having difficulty breathing. When considering asthma, the nurse practitioner asks which of the following questions? Select all that apply. 1. Do you feel out of breath during the day? 2. Do you have a cough, especially at night? 3. Do you feel a tightness in your chest? 4. May I listen for wheezing in your breathing? 5. Do you feel any dyspnea? 1. Do you feel out of breath during the day? 2. Do you have a cough, especially at night?