NSG6020 week 4 quiz with 100% correct solutions

NSG6020 week 4 quiz with 100% correct solutions which of the following is the most important question to ask during cardiovascular health history - Answer️️ -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 - Answer️️ -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 - Answer️️ -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 - Answer️️ - pericarditis ©SOPHIABENNETT@ Monday, August 19, 2024 12:35 AM Page 2 of 7 which symptom is more characteristic of non-cardiac chest pain - Answer️️ -pain tends to occur with movement stretching or palpation what is the most common valvular heart disease in the older adult - Answer️️ -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: - Answer️️ -mitral valve prolapse The aging process causes what normal physiological changes in the heart? - Answer️️ -the heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis Dan G., a 65-year-old man, presents to your primary care office for the evaluation of chest pain and left-sided shoulder pain. Pain begins after strenuous activity, including walking. Pain is characterized as dull, aching; 8/10 during activity, otherwise 0/10. Began a few months ago, intermittent, aggravated by exercise, and relieved by rest. Has occasional nausea. Pain is retrosternal, radiating to left shoulder, definitely affects quality of life by limiting activity. Pain is worse today; did not go away after he stopped walking. BP 120/80. Pulse 72 and regular. Normal heart ©SOPHIABENNETT@ Monday, August 19, 2024 12:35 AM Page 3 of 7 sounds, S1 and S2, no murmurs. Which of the following differential diagnoses would be most likely - Answer️️ -Coronary artery disease with angina pectoris a common auscultatory finding in advanced CHF is - Answer️️ -S3 gallop rhythm Your 35-year-old female patient complains of feeling palpitations on occasion. The clinician should recognize that palpitations are often a sign of - Answer️️ -all of the above The best way to diagnose structural heart disease/dysfunction non- invasively is - Answer️️ -echocardiogram During auscultation of the chest, your exam reveals a loud grating sound at the lower anterolateral lung fields, at full inspiration and early expiration. This finding is consistent with: - Answer️️ -A and B (pneumonia/pleuritis) A 75-year-old patient complains of pain and paresthesias in the right foot that worsens with exercise and is relieved by rest. On p