Exam 3: NSG554/ NSG 554 (New 2024/ 2025 Update) - Nurse Practitioners in Primary Care I Exam Review| Complete Guide with Questions and Verified Answers| All Modules Covered|100% Correct| A Grade

Exam 3: NSG554/ NSG 554 (New 2024/ 2025 Update) - Nurse Practitioners in Primary Care I Exam Review| Complete Guide with Questions and Verified Answers| All Modules Covered|100% Correct| A Grade QUESTION When to use exercise stress test NOT for detection of ischemia in asymptomatic patients with no hx revascularization. IS used to assess CAD in pts with c/p or DOE with intermediate risk of ACS ALSO shows patient's functional capacity which is a predictor of future cardiac events QUESTION exercise stress test + vs - results Answer: + if development of horizontal or downsloping ST depression of 1 mm - if patient exercises to at least 85% of age predicted max hr without evidence of inducible ischemia. QUESTION meds that make exercise test less diagnostic Answer: BB, dig, ca channel blocker, antihtn. consult cardiology if these should be withheld before the test. QUESTION when to + nuclear or US imaging to exercise tolerance test Answer: LV hypertrophy with ST and T abnormalities on resting electrocardiography baseline ST and T wave abnormalities recent MI clinical use of digoxin Wolff parkinson white syndrome bundle branch block ventricular pacemaker QUESTION patient can't use treadmill how to perform stress test? Answer: pharmacologic stress test using coronary vasodilators--dipyridamole and adenosine and inotropic chronotropic drugs like dobutamine. this tests the coronary flow reserve. reverse dipyridamole by aminophylline. reverse adenosine and dobutamine with stopping the infusion QUESTION Leading cause of death for women in US Answer: CAD. more likely to have nonobstructive or single vessel disease which decreases the accuracy of stress testing. QUESTION Diagnostic testing for CVD in women Answer: SPECT limited d/t breast tissue. Risk stratification using gramingham risk score. don't stress test asymptomatic patients unless sedentary and wanting to begin aggressive exercise or if dbtc and PAD (high risk). QUESTION Abdominal aortic aneurysm Answer: progressive permanent localized dilation of the abd. aorta with aortic diameter of 3 cm + or 50% inc in diameter compared wit adjacent normal segment. QUESTION aneurysms are defined by Answer: shape. true aneurysm involves all 3 layers. fusiform: symmetric weakness that produces a bulge saccular: asymmetric weakness or bleb on the side (trauma or wall defect) pseudoadurysm--enlargement of only outer layer of vessel wall. Size: small 4 cm med 4-5.4 cm large 5.5 cm very large 6 cm QUESTION Treatment for AAA Answer: recommended when aneurysm is 5.5 cm diagnosis before rupture is key, US of abdomen CTA is performed prior to repair this shows degree of calcification, presence of thrombus, inflam. aneurysms, etc. does expose to radiation. May use MRI and MRA QUESTION risk factors for AAA Answer: 65, male, family hx, cigarette smoking, atherosclerotic vascular disease, HTN, HLD, COPD QUESTION diagnosis triad of ruptured AAA hypotension, pulsatile abdominal mass, abdominal pain/back pain s/s: sensation of abdominal discomfort, back pain, pulsing abdomen, flank pa