NR 603-Week 3 quiz 2023 100% CORRECT

NR 603-Week 3 quiz 2023 100% CORRECT A 60 year old male with a history of type 2 Diabetes and HTN comes in for a follow up blood pressure check to evaluate the recent medication/diet/exercise plan you prescribed at his visit 3 months ago. His BMI is 20 His Blood pressures sitting and standing are: 138/80 132/76 What is the best analysis of the prescribed treatment plan a. His blood pressure is within JNC 8 guidelines so no adjustments will be made at this time b. his blood pressure is within JNC 8 guidelines but there should be less variability with position change c. His blood pressure is within JNC 8 guidelines but there should be less variability with position change d. His blood pressure is NOT within JNC 8 guidelines and therefore his therapy needs to be increased - CORRECT ANSWER-a. His blood pressure is within JNC 8 guidelines so no adjustments will be made at this time You are reviewing the labs of a 50 year old female patient who presented to you for a physical exam. You note, upon review of her labs, that her triglycerides are 670. Triglyceride levels over 500 raise immediate concern for which of the following disorders? a. liver failure b. acute pancreatitis c. myocardial infarction d. pulmonary embolism - CORRECT ANSWER-b. acute pancreatitis A 44 year old male patient presents to the clinic for evaluation of an episode of chest tightness that radiated to his back that he had earlier in the day when he was out for a walk. He states that once he came home and sat down, the chest tightness resolved. What is the most likely cause of his chest tightness? a. dissecting aortic aneurysm b. angina pectoris c. Gastroesophageal disease - CORRECT ANSWER-b. angina pectoris A 52 year old caucasian male with a past medical history of COPD comes in for follow up on his stage 2 HTN. Hydrochlorothiazide is at the maximum dose and a new medication needs to be added. Which medication would be the best second line therapy? a. a calcium channel blocker such as Cardizem b. an Ace inhibitor such as Lisinopril c. a beta blocker such as Metoprolol d. an alpha 1 receptor blocker such as cardura - CORRECT ANSWER-a. a cab. an Ace inhibitor such as Lisinopril Which of the following drugs does the 8th Joint National Committee (JNC8) 2014 Evidence Based Guidelines for the Management of High Blood pressure in adults recommend for the treatment for Caucasian males with microalbuminuria? a. Diruetics b. Angiotensin-Converting enzymes (ACE inhibitors) c. calcium channel blockers d. beta blocker - CORRECT ANSWER-b. Angiotensin-Converting enzymes (ACE inhibitors) Exercise tolerance Test (ETT) is the first line approach to detecting CAD in stable patients. However ETT is contraindicated for some patients. Knowing when to consult with specialists is an important part of NP practice. Which patient should be referred to cardiology prior to ordering an exercise