nr 507 | chamberlain | questions and Answers |
LATEST UPDATE
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Terms in this set (150)
During a post-hospital discharge Diastole
visit, you notice your 71 year old
female patient has been diagnosed
with a "new murmur" found by the
hospitalist during their recent
hospitalization for CHF exacerbation.
In evaluating the patient, during
which phase of the cardiac cycle
would you anticipate auscultation of
a S3 or S4 heart sound?
The point of maximum impulse (PMI) left 5th ICS, MCL
is most often palpable in healthy
adults when positioned in the supine
or left lateral decubitus position.
Which one of the following locations
is most commonly described as the
PMI in a healthy adult?
,The nurse practitioner assessing the Peak of the R wave
patient with a rapid cardiac rhythm
may assess for a pulse deficit by
auscultating the patient's heart while
watching the EKG rhythm. Where
would the S1 heart sound correlate
with the electrocardiographic
waves?
Michael, a 72 year old male patient Check for thyroid dysfunction
who previously presented with stable
cardiac-type chest pain has
underwent a stress test. He presents
today to review the stress test results,
which show EKG findings of ST
segment depression during the exam
in leads V3 and V4 as well as some
concurrent chest discomfort. Based
on these findings, which of the
following are NOT priority medical
decisions?
*Prescribe metoprolol (Lopressor)
12.5mg PO BID
*Prescribe aspirin 81mg PO daily
*Refer to cardiology for angiography
• Check for thyroid dysfunction
,Your newly established patient states thyrotoxicosis
in the past year, they have
progressively developed a
noticeable bump on their neck and
when asked about symptoms, they
report feeling very anxious, have
developed a tremor, and are
commonly feeling palpitations in
their chest.On examination, you
identify an enlarged thyroid gland
suspicious for a goiter. Of the
following diagnoses, which is most
likely for the patient to develop
based on these findings above?
Your patient has a diagnosis of low body temperature
Addison's disease. Which of the
following might you expect to find
during examination?
Your patient with a diagnosis of 6-12 cm in the right midclavicular line.
autoimmune hepatitis is beingseen in
your clinic for routine liver serology
and follow-up examination. Which of
the following correctly identifies the
normal liver span when percussing
the liver of a HEALTHY adult?
, The 19 year old male patient presents Absence of pain with withdrawal of palpation.
with acute symptomsof abdominal
pain and a history of intermittent
heartburn and spicy foodintolerance,
as well as anxiety due to his college
athletic performance. You have a
concern the patient may have a
perforated gastric ulcer and is
experiencing peritonitis. Which of the
following exam findings is NOT
supportive of this diagnosis?
Your new patient intake history of an Anterior only
elderly man includes a history of
Ehlers-Danlos with complications of
retinal detachment treated with gas
pneumopexy. In discussing this
history, you recall the transparent
mass of gelatinous material where
the gas pneumopexy is performed
can be found in which chamber(s) of
the eye?
While assessing the patient, you Normal Confrontation
covered their right eye while you
covered your left eye, then brought a
set number of fingers or wiggling
fingers into each quadrant of the
patient's visual field while you had
them identify when they saw your
fingers/movement. A normal exam
would be documented as which of
the following?
LATEST UPDATE
Save
Terms in this set (150)
During a post-hospital discharge Diastole
visit, you notice your 71 year old
female patient has been diagnosed
with a "new murmur" found by the
hospitalist during their recent
hospitalization for CHF exacerbation.
In evaluating the patient, during
which phase of the cardiac cycle
would you anticipate auscultation of
a S3 or S4 heart sound?
The point of maximum impulse (PMI) left 5th ICS, MCL
is most often palpable in healthy
adults when positioned in the supine
or left lateral decubitus position.
Which one of the following locations
is most commonly described as the
PMI in a healthy adult?
,The nurse practitioner assessing the Peak of the R wave
patient with a rapid cardiac rhythm
may assess for a pulse deficit by
auscultating the patient's heart while
watching the EKG rhythm. Where
would the S1 heart sound correlate
with the electrocardiographic
waves?
Michael, a 72 year old male patient Check for thyroid dysfunction
who previously presented with stable
cardiac-type chest pain has
underwent a stress test. He presents
today to review the stress test results,
which show EKG findings of ST
segment depression during the exam
in leads V3 and V4 as well as some
concurrent chest discomfort. Based
on these findings, which of the
following are NOT priority medical
decisions?
*Prescribe metoprolol (Lopressor)
12.5mg PO BID
*Prescribe aspirin 81mg PO daily
*Refer to cardiology for angiography
• Check for thyroid dysfunction
,Your newly established patient states thyrotoxicosis
in the past year, they have
progressively developed a
noticeable bump on their neck and
when asked about symptoms, they
report feeling very anxious, have
developed a tremor, and are
commonly feeling palpitations in
their chest.On examination, you
identify an enlarged thyroid gland
suspicious for a goiter. Of the
following diagnoses, which is most
likely for the patient to develop
based on these findings above?
Your patient has a diagnosis of low body temperature
Addison's disease. Which of the
following might you expect to find
during examination?
Your patient with a diagnosis of 6-12 cm in the right midclavicular line.
autoimmune hepatitis is beingseen in
your clinic for routine liver serology
and follow-up examination. Which of
the following correctly identifies the
normal liver span when percussing
the liver of a HEALTHY adult?
, The 19 year old male patient presents Absence of pain with withdrawal of palpation.
with acute symptomsof abdominal
pain and a history of intermittent
heartburn and spicy foodintolerance,
as well as anxiety due to his college
athletic performance. You have a
concern the patient may have a
perforated gastric ulcer and is
experiencing peritonitis. Which of the
following exam findings is NOT
supportive of this diagnosis?
Your new patient intake history of an Anterior only
elderly man includes a history of
Ehlers-Danlos with complications of
retinal detachment treated with gas
pneumopexy. In discussing this
history, you recall the transparent
mass of gelatinous material where
the gas pneumopexy is performed
can be found in which chamber(s) of
the eye?
While assessing the patient, you Normal Confrontation
covered their right eye while you
covered your left eye, then brought a
set number of fingers or wiggling
fingers into each quadrant of the
patient's visual field while you had
them identify when they saw your
fingers/movement. A normal exam
would be documented as which of
the following?
