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NR 667VISE Assignment FNP CEA Capstone Practicum and Intensive Final exam Updated 2025/2026 Questions and Answers $18.99
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NR 667VISE Assignment FNP CEA Capstone Practicum and Intensive Final exam Updated 2025/2026 Questions and Answers

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NR 667VISE assignment FNP CEA capstone practicum FNP intensive final exam NR 667VISE exam questions FNP CEA questions and answers FNP final exam 2026 NR 667VISE practicum FNP capstone 2025/2026 CEA final exam preparation FNP assignment solutions NR 667VISE updated exam FNP capstone proje...

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  • January 14, 2025
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  • NR 667
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NR 667 VISE Assignment FNP CEA Capstone
Practicum and Intensive Final exam Updated
2025/2026 Questions and Answers


1. Etiology: Hypertension: -No known cause in 90% of cases of primary HTN
v v v v v v v v v v v




-
Secondary causes: renal failure, kidney disease, renal artery stenosis, Cushing syndrome, hyp
v v v v v v v v v v v




/hypo thyroidism, increased ICP, sleep apnea, oral contraceptives, steroids, cocaine, NSAIDs, d
v v v v v v v v v v v




congestants, sympathomimetics, alcohol, antidepres- sants, caffeine
v v v v v




2. Risk Factors: Hypertension: -
v v v




Modifiable:smoking, DM, high cholesterol, obesity (single most important factor in children), p
v v v v v v v v v v v v




hysical inactivity, poor diet, excessive sodium intake, excessive alcohol consumption
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-Non-
modifiable: CKD, family hx, increased age (>55 men, > 65 women), low socioeconomic status,
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w educational status, male sex, OSA, stress, pregnancy
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3. Assessment: Hypertension: - v v




Most are asymptomatic; occipital headache, headache upon waking, blurry vision, fundoscop
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ic exam (AV nicking, exudates, papilledema), left vent. hypertrophy, pregnancy w/HTN and prot
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einuria, edema, and excessive weight gain
v v v v v




4. Differential Diagnosis: Hypertension: -Secondary HTN, white coat HTN (artifi-
v v v v v v v v




cial elevation d/t medical environment anxiety)
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5. Final Diagnosis: Hypertension: -Urinalysis = proteinuria
v v v v v




-Electrolytes, creatinine, calcium v v




1v/v82

,-Fasting lipid profile and BS
v v v v




-ECG
-Measure BP twice, 5 mins apart
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-Patient should be seated; use proper cuff size and application
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6. Prevention: Hypertension: -Maintaining healthy weight and BMI
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-Smoking cessation v




-Regular aerobic exercisev v




-Alcohol in moderation (< 1 oz/day)
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-Stress management
v




-Medication compliance v




-Assess for and treat OSA
v v v v




7. Non-pharm management: Hypertension: -Stage 1: Risk score < 10% =lifestyle modification
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-Stage 2: lifestyle + medication
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-DASH eating plan: high fruit, veggies, grains; low fat dairy, fish, poultry, beans, nuts
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-Reduce dietary sodium to 2,300mg/day, increase K+
v v v v v v




-Reduce sat. fat intake v v v




-Body weight reduction; 1kg of weight reduction = 1 mm/hg bp reduction
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-150 mins of aerobic exercise and/or 3 sessions of isometric resistance per week
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-Treat other underlying diseases
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-Check bp 2x/week during pregnancy
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2v/v82

,8. Pharmacological management: Hypertension: - v v v




Start medication for primary prevention of CVD if pt. has ASCVD risk e 10% and stage 1 HTN o
v v v v v v v v v v v v v v v v v v




r if ASCVD is
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< 10% with bp >140/90
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-Stage 2: start 2 bp-lowering medications
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-African Americans:2+ medications recommended;thiazide and CCBs are the most effective
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*DO NOT use ACE and ARB concurrently
v v v v v v




-Beta blockers are NOT first line
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-Thiazides, CCBs, ACEIs, and ARBs can be used alone or in combo v v v v v v v v v v v




9. Pregnancy considerations: Hypertension: - v v v




Can use beta blockers (labetalol), methyldopa, CCBs (nifedipine)
v v v v v v v




-AVOID ARBs and ACEIs v v v




10. Follow-up: Hypertension: -Inquire about adherence and any side effects v v v v v v v v




-Reassess monthly until patient reaches goal, then every 3-6 months as needed
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11. Expected course: Hypertension: - v v v




Only 54% of treated patients are at goal treatment; expect complications if under treated
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-Most patients require more than one medication to reach goal bp
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12. Possible Complications: Hypertension: - v v v




Stroke, CAD, MI, renal failure, heart failure, eclampsia (seizures), pulmonary edema, hyperten
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sive crisis, hypertensive retinopathy, ED
v v v v




13. Etiology: Hyperlipidemia: - v v




Inherited disorder, high dietary intake, obesity, sedentary lifestyle, DM, hypothyroidism, anab
v v v v v v v v v v




olic steroid use, hepatitis, cirrhosis, uremia, nephrotic syndrome, stress, drug-
v v v v v v v v v




induced (thiazide diuretics, beta blockers, cyclosporine), alcohol, caffeine, metabolic syndro
v v v v v v v v v


3v/v82

, me
14. Risk factors: Hyperlipidemia: - v v v




Family history, physical inactivity, smoking, age (men > 45, women > 55 or premature menopau
v v v v v v v v v v v v v v




se without estrogen replacement), obesity, diet high in sat. fat, DM
v v v v v v v v v v




15. Assessment findings: Hyperlipidemia: - v v v




Few physical findings; xanthomata (fat deposits in the skin), xanthelasma (yellow plaques on th
v v v v v v v v v v v v v




e eyelid), corneal arcus prior to age 50 (arc of cholesterol around the iris), bruits, angina pectori
v v v v v v v v v v v v v v v v




s, MI, stroke v v




16. Differential diagnosis: Hyperlipidemia: - v v v




Secondary causes: hypothyroidism, pregnancy, DM, non-fasting state
v v v v v v




17. Final diagnosis: Hyperlipidemia: -Fasting lipid profile: 9-12 hours
v v v v v v v




-Glucose level v




-Urinalysis, creatinine (for detection of nephrotic syndrome which can induce dys- lipidemia)
v v v v v v v v v v v




-Baseline transaminases v




-TSH for detection of hypothyroidism (which can cause secondary dyslipidemia)
v v v v v v v v v




-Calculate ASCVD 10-year risk v v v




4v/v82

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