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Chapter 8 Dermatological Disorders

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Chapter 8 Dermatological Disorders

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Chapter 8: Dermatological Disorders

1. 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. Answer: 1
Page: 152


Feedback
1.
Key symptoms of cardiovascular assessment include dizziness, syncope, orthopnea, angina, edema,
and claudication.
2.
Edema is not commonly found in respiratory conditions.
3.
Dizziness is a symptom in various conditions besides neurological conditions.
4.
Dizziness, orthopnea, and edema have no direct connection with the reproductive system.

, 2. 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. - 2. Answer: 4
Page: 152

Feedback
1.
One major remediable risk factor for CAD is high blood pressure.
2.
Aging cannot be remedied, though it is a risk for CAD.
3.
These two most important risk factors for atherosclerosis cannot be remedied.
4.
Along with high blood pressure, cholesterol levels and smoking can be remedied.

3. 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. - 3. Answer: 2
Page: 175


Feedback
1.
Normal blood pressure is less than 120/less than 80.The SBP rises with age.
2.
Isolated systolic hypertension is defined as an SBP greater than 160 mm Hg and a DBP of less than 90
mm Hg.
3.
Cardiovascular disease in the geriatric age group is of greater possibility where there are systolic
elevations rather than diastolic elevations.
4.
The risk of experiencing a cardiovascular event is two to three times higher in those with significant

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