NRNP 6566 WEEK 3 KNOWLEDGE CHECK Q&AS BEST EXAM SOLUTION LATEST DOWNLOADS 2022/2023

NRNP 6566 WEEK 3 KNOWLEDGE CHECK Q&AS BEST
EXAM SOLUTION LATEST DOWNLOADS 2022/2023




• Question 1


Mrs. Franklin is a 68-year-old woman with long-standing,
persistent AF being managed with rhythm control on
dofetilide. She also has type 2 diabetes mellitus (T2DM),
hypertension, and a myocardial infarction 3 years ago.


What is her CHADS2 and CHA2DS2-VASc score? How would
you interpret those scores in deciding on treatment for Mrs.
Franklin?




Correc
t
Answe
r:
CHADS2 score=2 (HTN, T2DM)


A score of greater than 2 is considered high risk for
stroke.




NRNP 6566 WEEK 3 KNOWLEDGE CHECK Q&AS BEST
EXAM SOLUTION LATEST DOWNLOADS 2022/2023

, NRNP 6566 WEEK 3 KNOWLEDGE CHECK Q&AS BEST
EXAM SOLUTION LATEST DOWNLOADS 2022/2023

CHA2DS2-VASc score=5 (age >65, female, HTN,
T2DM, coronary artery disease [CAD])


A score of greater than 2 is considered high risk for
stroke.


Many patients are hesitant to begin anticoagulation
due to the expense and inconvenience. However,
• Question 2

after understanding that a 4% annual risk for stroke
(if the CHA2DS2-VASc Score is 4) equates to 40% risk
over 10 years, patients are more willing to comply.
A 58-year-old male complains of a galloping heart rate and
shortness of breath. Vital signs are BP 110/74, P 156, RR 22
Oxygen sat is 96%. Continuous EKG monitoring identifies
periods of sinus tachycardia as well as episodes of atrial
fibrillation. Laboratory results for this patient show:


Hemoglobin 13.3 g/dl
Hematocrit 39%
WBC 8.7
Platelets 172,000
Sodium 140
Potassium 3.7




NRNP 6566 WEEK 3 KNOWLEDGE CHECK Q&AS BEST
EXAM SOLUTION LATEST DOWNLOADS 2022/2023