NR 603-Week 3 Quiz and Answers
NR 603-Week 3 Quiz and Answers
A 60 year old male with a history of type 2 Diabetes and HTN comes in for a follow up blood pressure check to evaluate the recent medication/diet/exercise plan you prescribed at his visit 3 months ago. His BMI is 20
His Blood pressures sitting and standing are:
138/80
132/76
What is the best analysis of the prescribed treatment plan
a. His blood pressure is within JNC 8 guidelines so no adjustments will be made at this time
b. his blood pressure is within JNC 8 guidelines but there should be less variability with position change
c. His blood pressure is within JNC 8 guidelines but there should be less variability with position change
d. His blood pressure is NOT within JNC 8 guidelines and therefore his therapy needs to be increased
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You are reviewing the labs of a 50 year old female patient who presented to you for a physical exam. You note, upon review of her labs, that her triglycerides are 670. Triglyceride levels over 500 raise immediate concern for which of the following disorders?
a. liver failure
b. acute pancreatitis
c. myocardial infarction
d. pulmonary embolism
A 44 year old male patient presents to the clinic for evaluation of an episode of chest tightness that radiated to his back that he had earlier in the day when he was out for a walk. He states that once he came home and sat down, the chest tightness resolved. What is the most likely cause of his chest tightness?
a. dissecting aortic aneurysm
b. angina pectoris
c. Gastroesophageal disease
A 52 year old caucasian male with a past medical history of COPD comes in for follow up on his stage 2 HTN. Hydrochlorothiazide is at the maximum dose and a new medication needs to be added. Which medication would be the best second line therapy?
a. a calcium channel blocker such as Cardizem
b. an Ace inhibitor such as Lisinopril
c. a beta blocker such as Metoprolol
d. an alpha 1 receptor blocker such as cardura
Which of the following drugs does the 8th Joint National Committee (JNC8) 2014 Evidence Based Guidelines for the Management of High Blood pressure in adults recommend for the treatment for Caucasian males with microalbuminuria?
a. Diruetics
b. Angiotensin-Converting enzymes (ACE inhibitors)
c. calcium channel blockers
d. beta blocker
Exercise tolerance Test (ETT) is the first line approach to detecting CAD in stable patients. However ETT is contraindicated for some patients. Knowing when to consult with specialists is an important part of NP practice. Which patient should be referred to cardiology prior to ordering an exercise tolerence test
a. 60 year old male with cardiac chest pain and high cholesterol
b. 60 year old male with cardiac chest pain and a history of smoking
c. 60 year old male with cardiac chest pain and symptomatic congestive heart failure
d. 60 year old male with cardiac chest pain, a history of diabetes and a BMI of 28
A 60 year old female patient presets to the clinic stating she had right arm and jaw pain about 2 hours ago along with “sweating” and shortness of breath. An EKG is performed immediately and reveals ST elevation in several leads. This clinical picture is consistent with:
a. this is a non-specific finding
b. Acute MI
c. Angina
A sedentary 58 year old African American female is here for her annual visit. Her VS are BP 130/70, HR 82, RR 18 BMI 30 Ht 5.2, works as an accountant in a law firm. Her past medical history includes and she states she’d like to begin training for a 10k marathon with some ladies at work. Per ACA/AHA guidelines your recommendations include
a. CBC, echocardiogram
b 12 lead EKG only
c. 12 lead EKG and an exercise stress test
d. no intervention as she has no identifiable risk factors
A 60 year old woman comes into the clinic complaining of nausea, shortness of breath and a dull pain in the middle of her back while playing tag in the yard with her granddaughter yesterday. Her past medical history includes CAD, Type 2 DM, and HTN. Lab work reveals negative troponins.
The most appropriate diagnostic testing includes
a. exercise stress test
b. single proton emmission CT
c. stress test with imaging
d. echocardiogram
NR 603-Week 3 Quiz and Answers
MORE INFO
Diabetes and HTN
Introduction
When you have diabetes, you may find that your blood pressure rises. This is because of the way that a type of sugar called glucose affects your body. Glucose is a type of sugar that can be found in foods like bread, fruit and milk. It’s also a major ingredient in candy, sweets and desserts.
Diabetes causes high blood pressure and hypertension can worsen the diabetic condition.
Diabetes and high blood pressure are both conditions that affect the circulatory system. They share some risk factors, but they aren’t the same thing.
High blood pressure is a condition in which your heart has to work harder than it should because of high levels of stress on its arteries. When this happens, you may see signs like blurred vision and dizziness. High blood pressure can lead to other health problems if left untreated—it’s even been linked to heart attack or stroke! If you have diabetes along with hypertension (high blood pressure), it’s likely that your condition will become worse over time.
Blood sugar levels are what determine whether an individual has diabetes or not.
Blood sugar levels are what determine whether an individual has diabetes or not. The basic concept behind insulin therapy is that it helps regulate blood sugar levels by moving glucose (sugar) into cells, where it can be used for energy. Diabetes is a disease where your body does not produce enough insulin to regulate blood sugar levels effectively, so you need to take this medication on a regular basis to help manage them.
Blood pressure represents the force that blood exerts on the walls of the arteries as it circulates through the body.
Blood pressure represents the force that blood exerts on the walls of your arteries as it circulates through your body. It is measured in millimeters of mercury (mmHg), which refers to one millimeter of mercury equaling 1/1000th of a normal person’s total blood volume.
Normal blood pressure is 120/80 mmHg; however, if you have high blood pressure, then your systolic reading will be higher than 120 mmHg and your diastolic reading will be lower than 80 mmHg.
This article is about how these two conditions are related in a way that is not very common knowledge.
Diabetes and HTN are related. Diabetes is a condition where the body does not produce enough insulin to break down sugar, leading to high blood pressure. High blood pressure can cause diabetes, or it may be caused by another condition in some people with diabetes.
But what exactly is this relationship between these two conditions? Let’s look at each separately
Conclusion
In conclusion, both diabetes and hypertension are conditions that can be treated with the right knowledge. If you have any questions or would like more information on this topic, please contact us at (800) 878-9933 or visit our website.
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