NR 602 WEEK 4 MIDTERM EXAM / NR602 MIDTERM EXAM UPDATED 100% CORRECT| LATEST 2021:Chamberlain College of Nursing (100% SATISFACTIONS)

NR 602 WEEK 4 MIDTERM EXAM / NR602 MIDTERM EXAM UPDATED 100% CORRECT| LATEST 2021:Chamberlain College of Nursing (100% SATISFACTIONS)NR 602 WEEK 4 MIDTERM EXAM / NR 602 MIDTERM EXAM According to the American College of cardiology 2017 guideline for high blood pressure in adults, and elevated blood pressure is defined as: An effective exercise therapy for rheumatoid arthritis is: A 55-year-old woman presents to the clinic with some somatic complaints. The nurse practitioner suspects anxiety. The nurse practitioner knows that somatic symptoms of anxiety include which of the following: You see a new client for an acute care visit. She is a 65-year-old Caucasian woman you diagnosed with polymyalgia rheumatica (PMR). You prescribed corticosteroids and will continue treatment until the condition has resolved. You look over her records and note it has been two years since her last physical exam and any laboratory or diagnostic test. And prioritizing your health maintenance management plan, your orders today should include; According to the 2017 guideline for high blood pressure in adults, the recommended blood pressure goal for a 68-year-old Asian American woman with no history of diabetes and a history of chronic kidney disease is; Symptoms of depression distinct to the elderly include; A post menopausal woman with osteoporosis is taking a bisphosphonate daily by mouth. What actions information statement would indicate the patient understood the nurse practitioners instruction regarding this medication? A 55-year-old Caucasian male patient follows up with you after a referral to a cardiologist. The patient reports he thinks the medication is causing a cough and sometimes he has difficulty breathing. Which of the following medications was most likely prescribed? The 2017 hypertension guidelines categorize a healthy 54-year-old African-American woman with a BMI of 23 and constant BP readings of 120-128/76-78 as; The best evidence rating drugs to consider in a post myocardial infarction patient include? You have completed the first follow up visit for a new COPD patient who is in stable condition. The patient asks how often he needs to follow up for COPD. The nurse practitioner states stable COPD patients should return for follow-up evaluation; The nurse practitioner is reviewing a chest x-ray report on a 55-year-old male patient who presented to the clinic with increasing shortness of breath. The nurse practitioner suspects COPD. The nurse practitioner knows diagnosis can be made with a high degree of accuracy of two of the following criteria are met; You are working with an older male adult with a long history of alcohol abuse and a 30 year history of smoking. And recommending an intervention for this client, your responsibility is to; The American College of cardiology 2017 guideline for high blood pressure in adults, adults with stage one hypertension and high ASCVD risk should be managed with both nonpharmacologic and antihypertensive drug therapy. The nurse practitioner knows this patient should return for a follow-up appointment which includes a blood pressure check in; In differentiating osteoarthritis from chronic gout, pseudogout, or septic arthritis, the most valuable diagnostic study would be; When examining the spine of an older adult you notice a curvature with a sharp angle. This is referred to as; When assessing a patient’s mental health, the nurse practitioner knows; A. affect reflects mood, B. cognition reflects mental status JK, a 60-year-old woman has returned to the office today for an evaluation of your management plan for her complaints of insomnia. You saw her two weeks ago, diagnosed primary insomnia and recommended melatonin. JK reports she is taking melatonin nightly. She is avoiding caffeine and alcohol as recommended. She is falling asleep but not staying asleep. She wakes up after about four hours and cannot return to sleep. The next step in treatment of insomnia is; The majority of depressed older adults remain untreated because of; The leading cause of death in elderly travelers worldwide is; The nurse practitioner is reviewing a patient chart prior to the start of the encounter. The nurse practitioner notes that the patient is using topical capsaicin. The nurse practitioner knows the topical capsaicin is often used for treatment of; The nurse practitioner is following up with KB, a 52-year-old woman who presented to the office one month ago with somatic complaints and was diagnosed with moderate depression. Her PHQ-9 score was 16. At today’s follow up the nurse practitioner knows she must assess the following; LB presents to the clinic with the following history and presentation: history of myocardial infarction five years ago and currently has shortness of breath, cough and 2+ sign pitting edema. The treatment will be based on LB stage of heart failure which is; JM is a 68-year-old man who presents to your primary care practice for a physical. JM has type two diabetes for five years, smokes half a pack of cigarettes a day, his BMI is 30. No other diagnosis, no current complaints. According to the AHA/ACC guidelines, JM is stage A and treatment goals include; The 2017 hypertension guidelines categorize a healthy 54-year-old African-American woman with a BMI of 23 and consistent BP readings of 120-128/76-78 as: The nurse practitioner knows the following statements regarding the pain of acute coronary syndrome are true except; A 59-year-old woman president to your clinic with the following history and symptoms: a history of myocardial infarction, new onset of shortness of breath, especially with exertion and occasional rapid fluttering heart beat and swollen feet. The nurse practitioner knows this patient stage of heart failure is; A 60-year-old woman with a 30 pack year history presents to your primary care practice for evaluation of a persistent, daily cough with increased sputum production, worse in the morning, occurring over the past three months. She tells you, “I have the same thing, year after year.“ Which of the following choices would you consider strongly in your critical thinking process? A common auscultatory finding in advanced CHF is; JM is a 68-year-old man who presents to your primary care practice for a physical. JM has had type two diabetes for five years, diet control. His BMI is 32. He has hypertension. Smoker, 10 cigarettes a day for 20 years. He denies other medical problems. Family history includes CAD, CABGX4 for father, now deceased; CHF, type two diabetes, HT for mother. He is asymptomatic today, his exam is normal and his EKG is normal sinus rhythm. According to the a HA/ACC guidelines, JM is at risk for what stage of heart failure? The aging process causes what normal physiological changes in the heart? The major impact of the physiological changes that occur with aging is; The best recommendation for a patient who states they have no equipment to exercise would be; All of the following statements are true about laboratory values in older adults except; The volume of air in the lungs at maximal inflation is; TLC: total lung capacity According to the 2017 hypertension guidelines, the recommended blood pressure goal for a 65-year-old African-American woman with a history of diabetes and no history of chronic kidney disease is; Aortic regurgitation requires medical treatment for early signs of CHF with; The best way to diagnose structural heart disease/dysfunction noninvasively is; MJ presents to the clinic with the following history and presentation: history of structural damage with current signs and symptoms of heart failure. Treatment will be based on MJ’s stage of heart failure which is; stage se MJ presents to the clinic with the following history and presentation: history of structural damage with current signs and symptoms of heart failure. Treatment will be based on MJ’s stage of heart failure which is; Functional abilities are best assessed by; DG, a 65-year-old man presents to your primary care office for the evaluation of chest pain and left-sided shoulder pain. Pains began after strenuous activity, including walking. Pain is characterized as doll, aching; eight out of 10 during activity, otherwise zero out of 10. It began a few months ago, intermittent, aggravated by exercise, and relieved by rest. He has occasional nausea. Pain is retrosternal, radiating to the left shoulder, definitely affects quality-of-life by limiting activity. Pain is worse today; did not go away after he stopped walking. Blood pressure is 120/80. Pulse is 72 and regular. Normal heart sounds, S1 and S2, no murmurs. Which of the following differential diagnosis would be most likely? The percentage of the FVC expired in one second is; LB is a 77-year-old patient with chronic poorly controlled hypertension. As the primary care provider you know that goals include prevention of target organ damage. During your evaluation you will assess for evidence of; The organism most commonly responsible for community acquired pneumonia in older adults is; Chronic pain can have a major impact on a patient’s ability to function and have a profound impact on the overall quality of life of the patient. Ongoing pain may be linked to; According to the 2017 hypertension guidelines, the recommended blood pressure goal for a 56-year-old Caucasian male with no history of chronic kidney disease or diabetes is; Preferred amount of exercise for older adults is; The nurse practitioner knows that medications can trigger or worsening heart failure. With this knowledge in mind, the nurse practitioner will avoid prescribing the following classes of medications; RD, a 65-year-old African-American female presents for her yearly physical. The nurse practitioner is reviewing the vital signs and objective data prior to the initiation of the exam. Which of the following would raise suspicion for osteoporosis? You have a patient that presents to the clinic that states she is retired. She does not exercise, she likes to sit in it. As part of health maintenance, a DEXA was ordered. You have received the results, a T score -2.0. The score is consistent with; According to the chronic pain management presentation in week four, alternative methods for treatment of chronic pain include all of the following except; PG is a 58-year-old Caucasian man with a stable mental health diagnosis of schizophrenia who presents for a yearly physical. PG is prescribed aripiprazole for treatment of his schizophrenia. The nurse practitioner knows the following labs and assessments should be ordered to assess for cardiometabolic changes related to his medicines except: And example of secondary prevention you could recommend/order for older adults would be to; IW is a 65-year-old man who is new to your practice. He has a history of COPD, CAD, hypertension, and type two diabetes. He has had no immunizations since his discharge from the military at age 25. Childhood diseases include: chickenpox, measles, mumps, and German measles. He presents for a disease management visit. Which of the following immunizations would you recommend for Ivan? Which of the following statements about osteoarthritis is true? The goals of COPD formal logical therapy include all of the following except; The prevalence of depression and nursing home residents is; Which organism that can be prevented by immunization is most often responsible for an infectious outbreak in the nursing home setting? The American College of cardiology 2017 guideline for high blood pressure in adults discusses screening and management of other cardiovascular disease risk factors for hypertensive patients. According to the guidelines, basic testing for primary hypertension includes fasting glucose, complete blood count, lipids, basic metabolic panel, thyroid stimulating hormone, urinalysis, electrocardiogram with optional echocardiogram, uric acid, and urinary albumin to creatinine ratio; Patient education for the COPD patient is essential. The nurse practitioner knows that COPD education includes all of the following except; The nurse practitioner knows that the goal of treatment for anxiety should; The majority of depressed older adults remain untreated because of: social stigma, environmental barriers, misdiagnosis, Which of the following patients has the highest risk for the development of osteoporosis? Mrs. F is a 65-year-old Caucasian female who presents for her yearly physical. A review of her chart reveals she smokes one pack of cigarettes a day, and drinks two beers every single evening since she retired. She does not exercise, she likes to sit in it the nurse practitioner knows the modifiable risk factor for osteoporosis for Mrs. F is; Osteoarthritis of the cervical and lumbar spine causes pain that is related to all of the following except;