NSG 6001 Midterm Exam 2 – Question And Answers
Question 1.
A 35 year old female arrives at your clinic. She has had diabetes and peripheral artery
... [Show More] disease for the past 5 years. You decide to obtain an ETT. The insurance company argues that this is inappropriate. You justify the ETT because you are planning secondary strategies to prevent future heart disease. Where could one find the supporting data for these guidelines?
Medicare guidelines
xFramingham risk score (These guidelines come from the Framingham risk score.)
Medicaid guidelines
Do not exist
Question 2.
You are counseling a patient diagnosed with stress-induced ischemia. You base your discussion on your knowledge that stress-induced ischemia is thought to be caused by what phenomena?
Diet and exercise
Heart muscle dysfunction
Too many carbonated drinks
xEndothelial dysfunction of the microvascular (You base your discussion on your knowledge that stress-induced ischemia is thought to be caused by endothelial dysfunction of the microvascular.)
Question 3.
What happens to coronary flow related to CAD?
Hyper profusion of the myocardium
Cerebral vascular infarction
xHypo profusion of the myocardium (Because of the restrictive flow of blook through the coronary arteries, hypo profusion of the myocardium results from coronary flow related to CAD which causes the presenting symptoms)
Functional systolic pressures
Question 4:
A 47-year old female with general complaints of fatigue and shortness of breath shows up in your clinic as a referral from another nurse practitioner. Several blood tests and chest x-rays have been completed without any diagnosis or outstanding abnormalities. You decide to order an ETT despite the fact that the recent ECG does not show any abnormalities. From the answers below, which would be the best answer to support your decision?
You are out of other options
Women present with the same pattern of CAD as do males
xCAD in women is under diagnosed (You make this choice because you are aware that CAD in women is under diagnosed.)
To please the patient
Question 5:
You are in the clinic with your mentor observing the Echocardiogram exercise test of a 45-year old male that has been expe [Show Less]