NRNP6566 2021 June Week 3 Knowledge Check Latest

NRNP6566 Advanced Care of Adults in Acute Settings I

Week 3 Knowledge Check  

Question 1What is your interpretation of this 12-lead EKG?                                         

Question 2 A 66-year-old female complains of dizziness, fatigue, and shortness of breath. Her EKG is below. What is your working diagnosis? What immediate treatment is indicated?

Question 3A 59-year-old male complains of dizziness, palpitations, weakness, and chest tightness. These symptoms have occurred a couple times a day for the last seven days.  EKG shows atrial fibrillation with rapid ventricular response. His blood pressure varies with readings of 90/42 to 120/66. Heart rate ranges from 150—210.   The decision is made to cardiovert the patient.   Prior to the procedure, what testing is essential to complete?  

Question 4          A 58-year-old male complains of a galloping heart rate and shortness of breath. Vital signs are BP 110/74, P 156, RR 22 Oxygen sat is 96%. Continuous EKG monitoring identifies periods of sinus tachycardia as well as episodes of atrial fibrillation. Laboratory results for this patient show:

Hemoglobin 13.3 g/dl

Hematocrit 39%

WBC 8.7

Platelets 172,000

Sodium 140

Potassium 3.7

TSH 0.0 mIU/L

T4 3 mg/dl

T3 6.6 pg/ml

What is your working diagnosis and what two initial medications would you prescribe for this patient?                   

Question 5What is your interpretation of this 12-lead EKG?                                         

Question 6Mrs. Franklin is a 68-year-old woman with long-standing, persistent AF being managed with rhythm control on dofetilide. She also has type 2 diabetes mellitus (T2DM), hypertension, and a myocardial infarction 3 years ago.

What is her CHADS2 and CHA2DS2-VASc score? How would you interpret those scores in deciding on treatment for Mrs. Franklin?                                             

Question 7  1.    What is your interpretation of this 12-lead EKG?

2.            What initial treatment is indicated?                                        

Question 8What is your interpretation of this 12-lead EKG?                                         

Question 9A 63-year-old female has been successfully cardioverted and is now on amiodarone for rhythm maintenance. The patient is on the following medications:

Warfarin 10 mg po daily

Lisinopril 20 mg po daily

Amiodarone 400 mg po daily

Prilosec 20 mg po daily

Digoxin 4250 mcg po daily

What interactions are possible and how would you monitor and adjust for them.                                             

Question 10        A 62-year-old male develops acute atrial tachycardia with a heart rate of 155. BP has been stable at 122/ 86. He is alert and oriented with adequate urine output. What medication would be utilized to treat the heart rate?