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EAQ with NGN: Cardiac (Questions & Answers) Rated 100%
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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 di...

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  • August 29, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • EAQ with NGN: Cardiac
  • EAQ with NGN: Cardiac

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EAQ with NGN: Cardiac
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 - The nurse is
preparing a plan of care for the client. Based on the information provided, choose the potential
condition 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

Chronic back pain

Hyperlipidemia

Anterior wall myocardial infarction (MI) at age 44.Up until the MI, he smoked two packs of cigarettes per
day for 25 years. After the MI, he completed a cardiac rehabilitation program. His only current physical
activity is walking around at work.



He reports sleeping on two pillows and waking at night one to two times per week, gasping with
difficulty breathing and having to get up during the night to urinate. He has noticed increased irritability
and anxiety. Client reports joint and back pain in the evenings. He has increasing shortness of breath
when he walks more than 30 feet and is concerned about a red scaly rash on his left lower leg.



His body mass index (BMI) is 32 kg/m2. He works - The nurse reviews the patient history and
physical in the EHR to identify relevant cues requiring follow-up.



Choose the most likely options for the information missing from the statement by selecting from the lists
of options provided.



The nurse identifies symptoms related to a possible cardio-respiratory concern including [nocturia] and
[paroxysmal nocturnal dyspnea].



3. "" ""



1100:

Physical assessment performed:

Client is alert and appears visibly anxious.



-Cardiac: Tachycardic; chest pain rated 6/10 scale; shortness of breath upon minimal exertion;
hypertension noted.

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