A nurse practitioner is providing care for several patients on a medical unit of a hospital
1. A nurse practitioner is providing care for several patients on a medical unit of a hospital. In
which of the following patient situations would the nurse practitioner be most likely to rule out
hypertension as a contributing factor? (Points : 0.4)
A 61-year-old man who has a heart valve infection and recurrent fever
An 81-year-old woman who has had an ischemic stroke and has consequent one-sided weakness
A 44-year-old man awaiting a kidney transplant who requires hemodialysis three times per week
A 66-year-old woman with poorly controlled angina and consequent limited activity tolerance
Question 2.2. An older adult female patient has presented with a new onset of shortness of
breath, and the patient's nurse practitioner has ordered measurement of her BNP levels along
with other diagnostic tests. What is the most accurate rationale for the nurse practitioner's
choice of blood work? (Points : 0.4)
BNP is released as a compensatory mechanism during heart failure and measuring it can help
differentiate the patient's dyspnea from a respiratory pathology.
BNP is an indirect indicator of the effectiveness of the RAA system in compensating for heart
failure.
BNP levels correlate with the patient's risk of developing cognitive deficits secondary to heart
failure and consequent brain hypoxia.
BNP becomes elevated in cases of cardiac asthma, Cheyne-Stokes respirations, and acute
pulmonary edema, and measurement can gauge the severity of pulmonary effects.
Question 3.3. An 81-year-old male resident of a long-term care facility has a long-standing
diagnosis of heart failure. Which of the following short-term and longer-term compensatory
mechanisms is least likely to decrease the symptoms of his heart failure? (Points : 0.4)
1. A nurse practitioner is providing care for several patients on a medical unit of a hospital. In
which of the following patient situations would the nurse practitioner be most likely to rule out
hypertension as a contributing factor? (Points : 0.4)
A 61-year-old man who has a heart valve infection and recurrent fever
An 81-year-old woman who has had an ischemic stroke and has consequent one-sided weakness
A 44-year-old man awaiting a kidney transplant who requires hemodialysis three times per week
A 66-year-old woman with poorly controlled angina and consequent limited activity tolerance
Question 2.2. An older adult female patient has presented with a new onset of shortness of
breath, and the patient's nurse practitioner has ordered measurement of her BNP levels along
with other diagnostic tests. What is the most accurate rationale for the nurse practitioner's
choice of blood work? (Points : 0.4)
BNP is released as a compensatory mechanism during heart failure and measuring it can help
differentiate the patient's dyspnea from a respiratory pathology.
BNP is an indirect indicator of the effectiveness of the RAA system in compensating for heart
failure.
BNP levels correlate with the patient's risk of developing cognitive deficits secondary to heart
failure and consequent brain hypoxia.
BNP becomes elevated in cases of cardiac asthma, Cheyne-Stokes respirations, and acute
pulmonary edema, and measurement can gauge the severity of pulmonary effects.
Question 3.3. An 81-year-old male resident of a long-term care facility has a long-standing
diagnosis of heart failure. Which of the following short-term and longer-term compensatory
mechanisms is least likely to decrease the symptoms of his heart failure? (Points : 0.4)
