A 65-year-old African American male with NYHA class III CHF presents with decompensated heart failure despite compliance with taking an ACE…

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Question Answered step-by-step -A 65-year-old African American male with NYHA class III CHFpresents with decompensated heart failure despite compliance with taking an ACE inhibitor, beta-blocker, and diuretics. According to the ACCF/AHA guidelines the next pharmacologic agent to be added should be: Calcium channel blocker Nitrate Alpha 2-receptor agonist Prostacyclin inhibitor 1 points  QUESTION 2 -Noncardiac causes for elevated natriuretic peptide levels (BNP and proBNP) include the following: Bacterial sepsis End stage liver disease Recent cardioversion Malignancies QUESTION 3 -Causes of unstable angina include all of the following except: Ventricular hypertrophy Vasoconstriction Non-occlussive thrombus Infection or inflammation 1 points  QUESTION 4 -The rationale for using beta blocker therapy in treatment of HF is to: Increase myocardial contractility Reduce the effects of circulating catecholamines Relieve concomitant angina Stabilize cardiac rhythm QUESTION 5 -Aortic stenosis in a 15-year-old is most likely: A sequela of rheumatic fever A result of congenital defect Calcific in nature Found with atrial septal defect 1 points  QUESTION 6 -A patient with symptomatic Aortic Stenosis (AS) requires surgery due to severe symptoms. The patient has several comorbidities and is deemed to have prohibitive surgical risks. Despite this risk stratification and due to the severity of the symptoms this patient may be a candidate for the following intervention: Aortic Valve Replacement (AVR) Transcatheter Aortic Valve Replacement (TAVR) Either an AVR or TAVR This patient is not a surgical candidate QUESTION 7 -You are examining an elderly woman and find a grade 3/6 crescendo-decrescendo systolic murmur with radiation to the neck. This is most likely caused by: Aortic stenosis  Aortic reguritation Mitral stenosis  Mitral regurgitation 1 points  QUESTION 8 -In assessing a woman with or at risk for acute coronary syndrome (ACS), the NP considers that the patient will likely present: In a manner similar to that of a man with equivalent disease At the same age as a man with similar health problems More commonly with angina and less commonly with acute MI Less commonly with heart failure  QUESTION 9 -Which is the primary consideration when preparing to administer thrombolytic therapy to a patient who is experiencing an acute myocardial infarction (MI)? History of heart disease Co-morbid conditions Size and location of the MI. Time since onset of symptoms 1 points  QUESTION 10 -Examination of a patient in a supine position reveals distended jugular veins from the base of the neck to the angle of the jaw. This finding indicates decreased venous return increased central venous pressure. increased pulmonary artery capillary pressure. left-sided heart failure Health Science Science Nursing Share QuestionEmailCopy link Comments (0)

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