EAQ with NGN: Cardiac Exam Questions
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1. Client was brought to the emergency department by his son with
reports of difficulty breathing and inability to walk short distances
without becoming extremely short of breath. Client is a 72-year-old
African American man with a history of obesity, hypertension,
coronary artery disease, and diabetes mellitus. Client reports fatigue
related to difficulty sleeping at night as a result of a nonproductive
cough that is unresolved with cough drops. Client reports a weight gain
of 10 pounds in the past week, despite his decreased appetite. The son
reports that his father has been unable to care for himself as a result of
the fatigue and increasing shortness of breath. He states "he has not
showered in over a week."
Assessment findings:
Cardiovascular: Sinus tachycardia with occasional premature
ventricular contractions (PVCs). No murmur noted
Respiratory: Tachypnea, inspiratory crackles auscultated throughout
bilateral
Ans: The nurse is preparing a plan of care for the client. Based
on the information provided, choose the potential condition
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with anticipated medication and side effect from the list of
options provided.
Potential condition:
heart failure
Anticipated Medications:
-nitroglycerin
-furosemide
Side effects to monitor:
-hypotension
-hypokalemia
2. A 64-year-old male client has arrived for an appointment at the
outpatient clinic because of difficulty breathing and a rash.
History:
Hypertension
Hypothyroidism
Depression
Erectile dysfunction
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