NURS 6560 Midterm Exam with answers – (A+ Grade / School graded)

NURS 6560 Midterm Exam with answers – (A+ Grade / School graded) Question 1 S. is a 59-year-old female who has been followed for several years for aortic regurgitation. Serial electrocardiography has demonstrated normal ventricular function, but the patient was lost to follow-up for the last 16 months and now presents complaining of activity intolerance and weight gain. Physical examination reveals a grade IV/VI diastolic aortic murmur and 2+ lower extremity edema to the midcalf. The AGACNP considers which of the following as the most appropriate management strategy? A.Serial electrocardiography every 6 months B.Begin a calcium channel antagonist C.Begin an angiotensin converting enzyme (ACE) inhibitor D.Surgical consultation and intervention Question 2 An ascending thoracic aneurysm of 5.5 cm is universally considered an indication for surgical repair, given the poor outcomes with sudden rupture. Regardless of the aneurysm’s size, all of the following are additional indications for immediate operation except: A. Comorbid Marfan’s syndrome B. Enlargement of 1 cm since diagnosis C. Crushing chest pain D. History of giant cell arteritis Question 3 Jasmine is a 31-year-old female who presents with neck pain. She has a long history of injection drug use and admits to injecting opiates into her neck. Physical examination reveals diffuse tracking and scarring. Today Jasmine has a distinct inability to turn her neck without pain, throat pain, and a temperature of 102.1°F. She appears ill and has foul breath. In order to evaluate for a deep neck space infection, the AGACNP orders: A. Anteroposterior neck radiography B. CT scan of the neck C. White blood cell (WBC) differential D. Aspiration and culture of fluid Question 4