NSG 6430 APEA EXAM CARDIO

NSG 6430 APEA EXAM CARDIO Which mitral disorder results from redundancy of the mitral valve's leaflets? Mitral valve prolapse A child's resting heart rate is expected to be between 60 and 100 beats per minute once he ...

NSG 6430 APEA EXAM CARDIO Which mitral disorder results from redundancy of the mitral valve's leaflets? Mitral valve prolapse A child's resting heart rate is expected to be between 60 and 100 beats per minute once he reaches: 10 years of age. A patient who takes HCTZ 25 mg daily has complaints of muscle cramps. He probably has: hypokalemia. Most hypertension in preadolescents and children is: secondary hypertension. Mr. Brown a 45-year-old African American male has the following lab values. What should the nurse practitioner do next? A thyroid stimulating hormone (TSH) level Which infant feeding behavior is least likely related to congenital heart disease (CHD)? Infants that burp frequently when feeding Besides hypertension, which risk factor most contributes to development of an abdominal aortic aneurysm? Cigarette smoking Which antibiotic should be used with caution if an older patient has cardiac conduction issues? Ciprofloxacin The usual clinical course of mitral valve prolapse: is benign. An 80-year-old patient with longstanding hypertension takes Monopril and HCTZ for hypertension. His most recent blood pressures are listed. What should be done about his blood pressure? Add a calcium channel blocker Drugs that target the renin- angiotensin-aldosterone system are particularly beneficial in patients who have: diabetic nephropathy Mr. Holbrook, a 75-year-old male, is a former smoker with a 30 pack-year history. He has come in today for an annual exam. He walks daily for 25 minutes, has had intentional weight loss, and has a near normal BMI. On examination, the patient is noted to have an absence of hair growth on his lower legs. Which statement is true regarding this patient? This might indicate disease in the lower extremities. Where would the murmur associated with mitral regurgitation best be auscultated? Mitral listening point Which patient could be expected to have the highest systolic blood pressure A 75-year-old male A 65-year-old male patient has the following lipid levels. What class of medications is preferred to normalize his lipid levels and reduce his risk of a cardiac event? HMG CoA reductase inhibitors Which patient is most likely to have mitral valve prolapse? A 30-year-old female with no cardiac history An older adult has renal insufficiency, hypertension, osteoarthritis, hypothyroidism, and varicose veins. Which medication should be avoided? NSAIDs A 75-year-old has isolated systolic hypertension. She started on amlodipine 4 weeks ago. She states that since then, she has developed urinary incontinence. What is the nurse practitioner's assessment? It is probably related to amlodipine. The most common arrhythmia resulting from valvular heart disease is: atrial fibrillation. A 42-year-old hypertensive patient was given a thiazide diuretic 4 weeks ago for treatment of primary hypertension. On his return visit today, he reports feeling weak and tired. What should the NP consider to evaluate the weakness and fatigue? Potassium level A medication that may produce exercise intolerance in a patient who has hypertension is: metoprolol. Which medication could potentially exacerbate heart failure (HF)? Naproxen A 77-year-old patient has had an increase in blood pressure since the last exam. The blood pressure readings are provided. If medication is to be started on this patient, what would be a good first choice? Calcium channel blocker A patient has had poorly controlled hypertension for more than 10 years. Indicate the most likely position of his point of maximal impulse (PMI): 5th ICS, left of MCL Which class of medication is frequently used to improve long-term outcomes in patients with systolic dysfunction? ACE inhibitors The valve most commonly involved in chronic rheumatic heart disease is the mitral. The diagnosis of mitral valve prolapse can be confirmed by: echocardiography An immune response to Group A Streptococcal infections involving the heart is: rheumatic fever. A patient with poorly controlled hypertension and history of myocardial infarction 6 years ago presents today with mild shortness of breath. He takes quinapril, ASA, metoprolol, and a statin daily. What symptom is NOT indicative of heart failure? Headache A 74-year-old patient has peripheral artery disease (PAD). Which item listed below is an important nonmodifiable risk factor for PAD? Diabetes Which of the following medications may have an unfavorable effect on a hypertensive patient's blood pressure? Naproxen Many factors can contribute to the risk of congenital heart disease. Which maternal disease carries a higher risk of transposition of the great vessels (TGA), ventricular septal defect (VSD), and hypertrophic cardiomyopathy? Diabetes A patient has shortness of breath. If heart failure is the etiology, which test demonstrates the highest sensitivity in diagnosing this? B type natriuretic peptide (BNP) A characteristic of an ACE inhibitor-induced cough is that it: usually begins within 2 weeks of starting therapy. A decrease in blood pressure can occur in men who take sildenafil (Viagra) and: any antihypertensive medication. Pharmacologic treatment for older adults with hypertension should be initiated: for any type of hypertension. .............Continue