Solved NURSING 633 Week 4 – Cardiovascular (CV) Questions/Answers 100% Score

NURSING 633 Week 4 – Cardiovascular (CV) An adult patient reports frequent episodes of syncope and lightheadedness. The provider notes a heart rate of 70 beats per minutes. What will the provider do next? Which are causes of secondary hypertension? (Select all that apply.) You're treating your patient for heart failure exacerbation. Which medications could potentially exacerbate heart failure? Naproxen Aspirin Atorvastatin Furosemide While doing the cardiac exam on a 45-year-old, you notice any irregular rhythm with a pulse rate of 110 bpm. The patient is alert and not in distress. What is the likely diagnosis? Atrial fibrillation is an irregular rhythm. In ventricular fibrillation patient would be unstable. Right bundle branch block does not cause rhythm irregularities. Second-degree AV block can cause rhythm irregularity, but is usually accompanied with bradycardia. A child with a history of asthma is brought to the clinic with a rapid heart rate. A cardiac monitor shows a heart rate of 225 beats per minute. The provider notifies transport to take the child to the emergency department. What initial intervention may be attempted in the clinic? Which are factors can cause a heart murmur? (Select all that apply.) A 28-year-old has a grade 3 murmur. Which characteristic indicates a need for referral? A split this created because of closure of valves. For example, and S2 is created by closure of an aortic and pulmonic valve. Normal these split with inspiration and almost never with expiration. Splits should never be fixed. This could indicate pathology such as atrial septal defect, pulmonic stenosis, or possibly mitral regurgitation. Mr. Smith is a 72-year-old patient takes warfarin for chronic atrial fibrillation. His INR today is 4. The nurse practitioner should: INR range for atrial fibrillation is usually 2-3 for chronic atrial fibrillation. Stopping warfarin for 4 days with certainly decrease INR, but his overkill, and would put patient at risk for thromboembolism when INR is subtherapeutic. Vitamin K is not necessary for patients who are not bleeding due to high INR, or whose INR is less than 8. Which are causes of secondary hypertension? (Select all that apply.) The AHA recommends early CPR and AED use for adult victims of cardiac arrest outside of a hospital setting because most victims have which arrhythmia? Atrial fibrillation ct! Ventricular fibrillation Atrial flutter Ventricular tachycardia A patient with poorly controlled hypertension and history of myocardial infarction 6 years ago presents today with mild shortness of breath. He takes quinapril, aspirin, metoprolol, and statin daily. What symptom is not indicative of heart failure?Correct! Headache Cough Orthopnea Fatigue Headache is a nonspecific symptom and is not typical for heart failure. All the other symptoms are classic for worsening heart failure. A 28-year-old has a grade 3 murmur. Which characteristic indicates a need for referral? A fixed split An increase in splitting with inspiration Split S2 with inspiration wered Changes in intensity with position changes A split this created because of closure of valves. For example, and S2 is created by closure of an aortic and pulmonic valve. Normal these split with inspiration and almost never with expiration. Splits should never be fixed. This could indicate pathology such as atrial septal defect, pulmonic stenosis, or possibly mitral regurgitation. A health care provider in a clinic finds a patient in a room, unresponsive and pale. Which possible signs should be used to identify the need to initiate cardiopulmonary resuscitation (CPR)? Correct! An African-American patient who is being treated with a thiazide diuretic for chronic hypertension reports blurred vision and shortness of breath. The provider notes a blood pressure of 185/115. What is