NSG 6001 MIDTERM EXAM 2 WITH BEST SOLUTIONS

NSG 6001 MIDTERM EXAM 2 WITH BEST SOLUTIONS Question 1. What happens to coronary flow related to CAD? Hyper profusion of the myocardium Cerebral vascular infarction X Hypo profusion of the myocardium (Because of the restrictive flow of blook through the coronary arteries, hypo profusion of the myocardium results from coronary flow related to CAD which causes the presenting symptoms) Functional systolic pressures Question 2: A 47-year old female with general complaints of fatigue and shortness of breath shows up in your clinic as a referral from another nurse practitioner. Several blood tests and chest x-rays have been completed without any diagnosis or outstanding abnormalities. You decide to order an ETT despite the fact that the recent ECG does not show any abnormalities. From the answers below, which would be the best answer to support your decision? You are out of other options Women present with the same pattern of CAD as do males xCAD in women is under diagnosed (You make this choice because you are aware that CAD in women is under diagnosed.) To please the patient Question 3: You are in the clinic with your mentor observing the Echocardiogram exercise test of a 45-year old male that has been experiencing slight chest pressure almost daily during exercise. While observing your patient, your mentor points out that the left ventricle wall is thinning and there is some hyperkinesias of the ventricular wall. From your time in the clinic, you know that this test will be considered to be what type of result? Impossible Negative xPositive (From your time in the clinic, you know because of wall thinning and hyperkinesis that this test will be considered to be positive.) Non-readable Question 4. Question : A 35 year old female arrives at your clinic. She has had diabetes and peripheral artery disease for the past 5 years. You decide to obtain an ETT. The insurance company argues that this is inappropriate. You justify the ETT because you are planning secondary strategies to prevent future heart disease. Where could one find the supporting data for these guidelines? Medicare guidelines xFramingham risk score (These guidelines come from the Framingham risk score.) Medicaid guidelines Do not exist