NR 507 Week 2 Assignments: Cardiovascular Disorders plus Hematological Disorders

NR 507 Week 2 Assignments

NR 507 Week 2 Assignment: Cardiovascular Disorders

1. Question: Coronary artery disease (CAD) is mainly the result of:
2. Question: Which of the following statements correctly describes the flow of blood between the heart and lungs:
3. Question: Which of the following is a non-modifiable risk factor for Coronary Artery Disease?
4. Question: Which of the following is a modifiable risk factor for Coronary Artery Disease (CAD)?
5. Question: In Coronary Artery Disease (CAD), pumping ability of the heart can … due to the deprivation of oxygen.
6. Question: Identify whether each risk factor of coronary artery disease is modifiable or non-modifiable.
7. Question: The most common cause of right-sided heart failure is:
8. Question: In the healthy heart, the response to an increase in preload is for the stroke volume to increase.
9. Question: Which of the following conditions can decrease preload?
10. Question: Cor Pulmonale is:
11. Question: Hypertension has its most immediate effect on:
12. Question: Determine if the list of issues are … with right-sided or left-… heart failure and select the appropriate type of heart failure.
13. Question: Correctly match each class of heart failure to their proper description
14. Question: Correctly match each stage of heart failure to their proper description.
15. Question: The patient with aortic regurgitation would most likely present with:
16. Question: The patient with aortic stenosis would most likely present with:
17. Question: A patient with mitral regurgitation would most likely present with
18. Question: A patient with mitral stenosis would most likely present with:

Review each patient scenario below for the presenting signs and symptoms to determine the type of heart valve disease prevalent for that patient.

1. Question: A 64-year old female reports to the primary care office with a complaint of “fainting”. She … that the episode … while she was … in her usual low impact aerobics class. She also noticed, for the first time, during exercise that her heart “hurt”. The NP conducts a symptom analysis of the chest pain and … that the patient describes it as chest pressure. The patient reports no dyspnea with exercise and denies orthopnea or paroxysmal nocturnal dyspnea. On examination, the NP notes that all vital signs are normal, lungs are clear to auscultation; There is a laterally … apical impulse and a grade 4/6 mid-systolic crescendo- decrescendo murmur, heard loudest at the base and radiating to the neck. There is also an S4 gallop. no peripheral edema noted. There is a laterally displaced, … apical impulse and a grade 4/6 mid-systolic crescendo- decrescendo murmur, heard loudest at the base and radiating to the neck. There is also an S4 gallop. The NP performs an ECG in the office and discovers left ventricular hypertrophy.
2. Question: A 60-year old male reports to the primary care office with “shortness of breath” that … a few days after being … from the hospital following angioplasty and stent placement. Upon exam, the NP observes that the patient does have dyspnea and jugular vein distention. Crackles are also … in lung bases bilaterally. A blowing holosystolic murmur is also heard at the heart’s apex with radiation into the axilla.
3. Question: A woman brings her 67-year old father to see the NP at the primary care clinic. The patient reports that he has … shortness of breath for the last two months that has … to get progressively worse. He expresses great concern that this development has kept him from participating in his Silver Sneaker’s program that he enjoys with his friends. He reports that he can barely walk a city block or walk up the stairs in his home without becoming short of breath. Upon exam, the NP notes a blood pressure of 180/58 mmHg and peripheral pulses are palpable at 4+. The cardiac exam reveals several murmurs: an early diastolic murmur that is high-pitched … loudest at the left lower sternal border; a diastolic rumbling sound heard at the heart’s apex and a systolic crescendo-decrescendo murmur heard at the left upper sternal border. A chest x-ray is … at the office and shows pulmonary edema and cardiomegaly.
4. Question: A 40-year old male reports to the primary care office with a chief complaint of dyspnea, especially with activity, over the last 5 days. He also notices that several times during the last two days that he could feel his heart “pounding and racing”. On collecting the medical history, the patient indicates that he had rheumatic heart disease as a young child but remembers little about it. On exam, the NP determines that he is tachycardic with a heart rate of 120 beats/minute that is irregularly irregular. A low-pitched murmur is also … and is heard most prominently at the apex. The NP also notes jugular vein distention (JVD) and bilateral crackles in the lung bases. The NP performs an ECG in the office that reveals atrial fibrillation and left atrial hypertrophy.

NR 507 Week 2 Assignment: Hematological Disorders

• Question: Which of the following microcytic anemias is … by Hyerchromic RBCs?
• Question: Which of the following is … a microcytic anemia?
• Question: Which of the following is not a clinical characteristic of anemia?
• Question: The terms normocytic, microcytic, and macrocytic characterizes red blood cells by their
• Question: Which of the following would normocytic-normochromic indicate?
• Question: Which of the following symptoms reflect … tissue oxygenation as an effect of anemia?
• Question: Which of the following is a type of macrocytic anemia?
• Question: Which of the following would indicate that the patient’s iron stores are … ?
• Question: Which of the following conditions could result in iron deficiency anemia?
• Question: The treatment of iron deficiency anemia includes:

Microcytic Anemias

As you should recall, microcytic anemias result from conditions whereby the RBCs are small (MCV<80 dL). These anemias can also … according to their color, or amount of hemoglobin per RBC (MCHC). Identify if each item below is Microcytic… Hypochromic, Microcytic Normochromic, or Microcytic Hyperchromic.

• Question: The basic pathophysiology of iron deficiency anemia is that there are insufficient iron levels or the inability of the cell’s mitochondria to utilize iron
• Question: Which of the following are iron-rich foods?
• Question: When iron stores are … , the cell’s mitochondria are still able to utilize iron effectively due to compensatory
• Question: A transferrin deficiency will most likely result in:
• Question: One of the common precipitating factors of folate deficiency is alcohol
• Question: Folic acid is essential to the body because it:
• Question: A non-megaloblastic anemia would … by _______
• Question: A deficiency of intrinsic factor will result in ________
• Question: The _____ lab values will … normal in a patient with pernicious anemia
• Question: Which of the following lab values are normal for the patient with folate deficiency?
• Question: Which of the following will … in a patient with pernicious anemia?
• Question: Which of the following lab values will … low in a patient with folate deficiency?
• Question: An individual who has … an incorrect blood transfusion will exhibit signs of:
• Question: Aplastic anemia can … by:
• Question: Acute blood loss of anemia is usually … with acute GI bleeding and labor and delivery complications.
• Question: Which of the following is a cause of hemolytic anemia? (Select all that apply.)
• Question: The ______________ lab value will … high in post-hemorrhagic anemia.
• Question: MCHC will … normal in which of the following anemias?
• Question: The ______________ lab values are low in aplastic anemia.
• Question: The ______________lab values are normal for hemolytic anemia.
• Question: Which of the following statements are correct regarding thalassemia?
• Question: The patient with thalassemia is at high risk for stroke.
• Question: Sickle-cell anemia is an:
• Question: Cells that contain abnormal types of hemoglobin are more susceptible to infection by the parasite that causes malaria.
• Question: Sickle cell anemia and thalassemia are more prevalent in which of the following geographic areas?
• Question: Thalassemia is similar to sickle cell anemia in that the individual with thalassemia: