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NURS 5463 TEST 4 NEWEST 2025 ACTUAL EXAM|
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADE D
A+|| NEW!!
A 68-year-old man with a history of end-stage renal disease is admitted to the hospital for chest pain. On examination, a pericardial friction rub is noted. His ECG shows diffuse ST-segment elevation. Which of the following is the best definitive treatment? - ANSWER - Dialysis
The same is now hospitalized, but there is a delay in initiating treatment.You are called to the bedside because he has become hypotensive with a systolic blood pressure of 85/68 mm Hg, a heart rate of 122 bpm, and pulsus paradoxus. A repeat ECG is unchanged from admission. Which of the following is the most appropriate immediate intervention? - ANSWER - Perform echocardiographic-guided pericardiocentesis.
A 62-year-old man is evaluated for a 7-month history of progressive dyspnea and lower extremity swelling. His medical history is significant for lymphoma treated with chest irradiation 15 years ago and currently in remission. He does not smoke or drink alcohol. On physical exam, vital signs are stable. There is jugular venous distension and jugular venous engorgement with inspiration. Cardiac exam discloses a prominent early diastolic sound but no murmurs or gallops. Lung exam reveals normal breath sounds. Abdominal examination reveals ascites, and lower extremities show 3+ pitting edema. ECG shows normal sinus rhythm with nonspecific diffuse ST-T changes. Urinalysis is normal.Chest radiography shows calcifications around the heart and clear lung fields. 1 / 3
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pg. 2 Which of the following is the most likely diagnosis? - ANSWER - Constrictive pericarditis
A 35-year-old woman is being seen for shortness of breath of 2 weeks' duration. She denies a history of asthma, smoking, or cough. On examination, her heart rate is 100 bpm, blood pressure is 90/60 mm Hg, and respiratory rate is 20 breaths per min. Her jugular venous pulse was noted at rest to be 2 cm above the sternal notch, increasing to 6 cm above the sternal notch with deep inspiration. Which of the following conditions does she most likely have? - ANSWER - Constrictive pericarditis
A 53-year-old man has been undergoing dialysis for end-stage renal disease due to long-standing diabetes mellitus. He is being seen in the emergency center for progressive dyspnea on exertion. On examination, he is found to have a heart rate of 105 bpm, blood pressure of 90/60 mm Hg, and respiratory rate of 20 breaths per minute. After examination, the clinician suspects cardiac tamponade. Which of the following is the most sensitive finding in this condition? - ANSWER - • Drop in systolic blood pressure more than 10 mm Hg during inspiration
A 35-year-old man is brought into the emergency department after a knife injury to the chest. He is noted to be hypotensive with a blood pressure of 80/40 mm Hg and an elevated jugular venous pulse. Bedside ultrasound examination confirms a large cardiac effusion. While awaiting pericardiocentesis, which of the following is the most important intervention for the patient to receive? - ANSWER - Intravenous fluids
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pg. 3 Which of the following is most likely to cause restrictive cardiomyopathy? - ANSWER - Endomyocardial fibrosis
In a patient who presents to a primary care physician with signs and symptoms of claudication secondary to peripheral arterial disease, which of the following would be an ideal initial diagnostic modality? - ANSWER - A. D. Ankle-brachial index
What is the pathophysiologic mechanism by which pain occurs during classic claudication of the calf muscles? - ANSWER - Imbalance between oxygen supply and demand due to inadequate blood flow, resulting in buildup of toxic metabolites
In a patient with PAD, what should be the ideal LDL goal for preventing further disease progression? - ANSWER - Less than100 mg/dL
A 55year-old man presents to the emergency room with complaints of a severe headache, diplopia, and vomiting. His blood pressure is 210/120 upon arrival. Which of the following is the best next step? - ANSWER - Obtain a head CT scan, give an antihypertensive such as nicardipine, and admit to the intensive care unit.
Which of the following symptoms would categorically suggest a diagnosis of pseudoclaudication over traditional claudication? - ANSWER - Severe back and leg pain while walking downhill but not uphill
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