NSG6020 week 4 quiz and answers A Graded

which of the following is the most important question to ask during cardiovascular health history - ANS--sudden death of a family member a key symptom of ischemic heart disease is chest pain. However, angina equivalents may include exertional dyspnea. Angina equivalenstare important because - ANS--A and B (Women with ischemic heart disease/some patients may have no symptoms) A 55 year old post menopausal woman with a history of hypertension complains of jaw pain on heavy exertion. There were no complaints of chest pain. Her ECG indicates normal sinus rhythm without ST segment abnormalities. Your plan may include - ANS--exercise test Jenny is a 24 year old graduate student that presents to the clinic today with complaints of fever, mid sternal chest pain and generalized fatigue for the past two days. She denies any cough or sputum production. She states that when she takes ibuprofen and rest that the chest pain does seem to ease off. Upon examination the patient presents looking very ill. She is leaning forward and states that this is the most comfortable position for her. Temp is 102, BP 100/70, heart rate is 120/min and regular. Upon auscultation a friction rub is audible. Her lungs sounds clear. With these presenting symptoms your initial diagnosis would be - ANS--pericarditis which symptom is more characteristic of non-cardiac chest pain - ANS--pain tends to occur with movement stretching or palpation what is the most common valvular heart disease in the older adult - ANS--aortic stenosis 1. Jeff, 48 years old, presents to the clinic complaining of fleeting chest pain, fatigue, palpitations, lightheadedness, and shortness of breath. The pain comes and goes and is not associated with activity or exertion. Food does not exacerbate or relieve the pain. The pain is usually located under the left nipple. Jeff is concerned because his father has cardiac disease and underwent a CABG at age 65. The ANP examines Jeff and hears a mid-systolic click at the 4th ICS mid-clavicular area. The ANP knows that this is a hallmark sign of: - ANS--mitral valve prolapse