NSG 6020 Week 4 Quiz Question and
Answers: South University
A 75-year-old patient complains of pain and paresthesias in the
right foot that worsens with exercise and is relieved by rest. On
physical examination you note pallor of the right foot, capillary
refill of 4 seconds in the right foot, +1 dorsalis pedis pulse in the
right foot, and +2 pulse in left foot. Which of the following is a
likely cause of the signs and symptoms? - <<ANSWER>>arterial
insufficiency
Your patient complains of a feeling of heaviness in the lower legs
daily. You note varicosities, edema, and dusky color of both
ankles and feet. Which of the following is the most likely cause for
these symptoms? - <<ANSWER>>venous insufficiency
Your 54 year old patient, Mr. A, presents to your clinic with a 2
day history of severe shoulder pain. On initial assessment you
note that in addition to shoulder findings his blood pressure on the
'good' arm is 162/100. You review his history and on his last visit
his blood pressure was 120/70. He has a medical history of sleep
apnea and has used anabolic steroids when body building as a
younger adult. In addition to caring for Mr. A's chief complaint of
shoulder pain, you also - <<ANSWER>>Schedule a follow up
appointment after pain has subsided to take additional blood
pressure readings
You decide to order labs today to help with the diagnosis and
management of hypertension in Mr. A. Which of the following labs
are indicated to assist in the medical management of Mr. A if he
, meets the diagnostic criteria for hypertension? -
<<ANSWER>>fasting serum cholesterol panel
Lifestyle modifications reduce blood pressure, enhance
antihypertensive medication efficacy, and decrease
cardiovascular risks. Which lifestyle change will decrease blood
pressure the most? - <<ANSWER>>weight reduction
Mr. A returns to your clinic and a diagnosis of hypertension is
made. He is started on a diuretic and counseled on lifestyle
modifications including increasing activity and smoking cessation.
On his next visit you note that his blood pressure remains
elevated. Before referring to a specialist you should do all of the
following except - <<ANSWER>>Determine he has 'white coat'
hypertension because his home readings are also elevated
Mr. A has many issues that seem to be interfering with his health
outcomes. In order to negotiate and formulate a patient-centered
management plan you take the time to gather more information.
This can be started by asking the following question -
<<ANSWER>>What do you think caused your hypertension and
how has it affected your life?
Which of the following is the most important question to ask
during cardiovascular health history? - <<ANSWER>>Sudden
death of a family member
A key symptom of ischemic heart disease is chest pain. However,
angina equivalents may include exertional dyspnea. Angina
equivalents are important because - <<ANSWER>>A & B only
A.Women with ischemic heart disease many times do not present
with chest pain
B. Some patients may have no symptoms or atypical symptoms.
Diagnosis may only be made at the time of an actual myocardial
infarction
Answers: South University
A 75-year-old patient complains of pain and paresthesias in the
right foot that worsens with exercise and is relieved by rest. On
physical examination you note pallor of the right foot, capillary
refill of 4 seconds in the right foot, +1 dorsalis pedis pulse in the
right foot, and +2 pulse in left foot. Which of the following is a
likely cause of the signs and symptoms? - <<ANSWER>>arterial
insufficiency
Your patient complains of a feeling of heaviness in the lower legs
daily. You note varicosities, edema, and dusky color of both
ankles and feet. Which of the following is the most likely cause for
these symptoms? - <<ANSWER>>venous insufficiency
Your 54 year old patient, Mr. A, presents to your clinic with a 2
day history of severe shoulder pain. On initial assessment you
note that in addition to shoulder findings his blood pressure on the
'good' arm is 162/100. You review his history and on his last visit
his blood pressure was 120/70. He has a medical history of sleep
apnea and has used anabolic steroids when body building as a
younger adult. In addition to caring for Mr. A's chief complaint of
shoulder pain, you also - <<ANSWER>>Schedule a follow up
appointment after pain has subsided to take additional blood
pressure readings
You decide to order labs today to help with the diagnosis and
management of hypertension in Mr. A. Which of the following labs
are indicated to assist in the medical management of Mr. A if he
, meets the diagnostic criteria for hypertension? -
<<ANSWER>>fasting serum cholesterol panel
Lifestyle modifications reduce blood pressure, enhance
antihypertensive medication efficacy, and decrease
cardiovascular risks. Which lifestyle change will decrease blood
pressure the most? - <<ANSWER>>weight reduction
Mr. A returns to your clinic and a diagnosis of hypertension is
made. He is started on a diuretic and counseled on lifestyle
modifications including increasing activity and smoking cessation.
On his next visit you note that his blood pressure remains
elevated. Before referring to a specialist you should do all of the
following except - <<ANSWER>>Determine he has 'white coat'
hypertension because his home readings are also elevated
Mr. A has many issues that seem to be interfering with his health
outcomes. In order to negotiate and formulate a patient-centered
management plan you take the time to gather more information.
This can be started by asking the following question -
<<ANSWER>>What do you think caused your hypertension and
how has it affected your life?
Which of the following is the most important question to ask
during cardiovascular health history? - <<ANSWER>>Sudden
death of a family member
A key symptom of ischemic heart disease is chest pain. However,
angina equivalents may include exertional dyspnea. Angina
equivalents are important because - <<ANSWER>>A & B only
A.Women with ischemic heart disease many times do not present
with chest pain
B. Some patients may have no symptoms or atypical symptoms.
Diagnosis may only be made at the time of an actual myocardial
infarction
