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WGU D118 Adult Primary Care with que stions & veried answers already graded A+ $13.39   Add to cart

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WGU D118 Adult Primary Care with que stions & veried answers already graded A+

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WGU D118 Adult Primary Care with que stions & veried answers already graded A+ Epinephrine is indicated if unstable bradycardia is caused by beta blockers. This patient is symptomatic and unstable and should be treated. Adenosine and amiodarone are used to treat tachycardia. Atropine is used for...

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  • April 16, 2024
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  • 2023/2024
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WGU D118 Adult Primary Care with
questions & veried answers already
graded A+


Epinephrine is indicated if unstable bradycardia is caused by beta
blockers. This patient is symptomatic and unstable and should be
treated. Adenosine and amiodarone are used to treat tachycardia.
Atropine is used for some types of bradycardia, but not when
induced by beta blockers.
All of the following are common symptoms of an abdominal aortic
aneurysm except for:


A) Chest pain
B) Abdominal pain
C) Pulsating abdominal mass
D) Low back pain
(A)
Chest pain is not a common symptom of an abdominal aortic
aneurysm. Common symptoms of an abdominal aortic aneurysm
include a pulsating feeling near the navel, a deep constant pain in
the abdomen or the side of the abdomen, and low back pain (source:
mayoclinic.org).


All of the following are risk factors for developing an abdominal
aortic aneurysm except for:


A) Smoking

,B) Anemia
C) Hypertension
D) Being male
(B)
Smoking, hypertension, and being male all are risk factors for an
abdominal aortic aneurysm. Other risk factors include an age of 65
or older, a family history of abdominal aortic aneurysms,
atherosclerosis, and people who have aneurysms in other parts of
the body


A patient reports abdominal and back pain with anorexia and
nausea. During an exam, the provider notes a pulsatile abdominal
mass. What is the initial action?


a. Immediate referral to a thoracic surgeon


b. Ordering computerized tomography (CT) angiography


c. Scheduling a magnetic resonance imaging (MRI) to evaluate for
aortic disease


d. Ultrasound of the mass to determine size (US)
ANS: D


This patient has symptoms consistent with an aortic aneurysm. The
initial step is to determine the size of the aneurysm; this can be done
by US. Immediate referral is not necessary. MRI and CT diagnostic
tests are ordered before surgery to evaluate the characteristics of
the aneurysm.

,A 70-year-old patient presents with an aortic aneurysm measuring
5.0 cm. The patient has poorly controlled hypertension, and
decompensated heart failure. What is the recommendation for
treatment for this patient?


a. Endovascular stent grafting of the aneurysm


b. Immediate open surgical repair of the aneurysm


c. No intervention is necessary for this patient


d. Serial ultrasonographic surveillance (US) of the aneurysm
ANS: D


A patient prescribed a beta blocker medication is in the emergency
department with reports of syncope, shortness of breath, and
hypotension. A cardiac monitor reveals a heart rate of 35 beats per
minute. Which medication may be used to stabilize this patient?


a. Adenosine
b. Amiodarone
c. Atropine
d. Epinephrine
ANS: D

, This patient's aneurysm is less than 5.5 cm and repair is not
necessary at this time. Serial US surveillance is necessary to
continue to evaluate size. Repair is risky in patients with
hypertension and heart failure, so avoiding procedures if possible is
recommended.


All of the following medical conditions can produce episodes of
severe hypertension except for:


A) Pheochromocytoma
B) Atrial fibrillation
C) Hyperaldosteronism
D) Autonomic dysreflexia
(B)
Atrial fibrillation can cause hypotension. Pheochromocytoma,
hyperaldosteronism, and autonomic dysreflexia can all cause
episodes of severe hypertension.


A systolic blood pressure of 135/88 mmHg is classified as:


A) Normal
B) Prehypertension
C) Stage I hypertension
D) Stage II hypertension
(B)
A systolic BP between 120-139 mmHg or a diastolic BP between 80-
89 mmHg is classified as prehypertension. A systolic BP less than
120 mmHg or a diastolic BP less than 80 mmHg is classified as

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