1–  The S2 heart sound denotes: • Closure of the mitral and tricuspid valves • Early closure of

1–  The S2 heart sound denotes: • Closure of the mitral and tricuspid valves • Early closure of the tricuspid valve • Early closure of the aortic valve • Closure of the aortic and pulmonic valves**************************************************2–A 71-year-old male with a past medical history significant for atrial fibrillation and colon cancer presents to the ER with sudden onset of severe abdominal pain. Assessment data is as follows: HR 132, BP 100/70, O2 95%, moderate abdominal pain on palpitation, hyperactive bowel sounds, and no abdominal distention. What is the next step? • Draw CBC, ABG, AST, ALT • CT scan with contrast, CBC, electrolytes • Increase pain medication • CBC, dopamine drip, and type and cross 6 units of PRBCs*************************************************3– A 59-year-old male with a past medical history significant for hypertension, type 2 diabetes, and hyperlipidemia presents to the ER with stabbing upper back pain for the past two days with no relief with over the counter medications. Physical exam findings show: HR 95, BP 180/100, 3/6 diastolic blowing murmur and a S4 heart sound. What is the most likely diagnosis? • Myocardial infarction • Pulmonary embolism •  Endocarditis. Aortic dissection****************************************************4–A 59-year-old male with a past medical history significant for hypertension, type 2 diabetes, and hyperlipidemia presents to the ER with stabbing upper back pain for the past two days with no relief with over the counter medications. Physical exam findings show: HR 95, BP 180/100, 3/6 diastolic blowing murmur and a S4 heart sound. What is the most appropriate diagnostic test to confirm diagnosis? • MRI •  Echocardiogram • Chest x-ray •  CT chest with contrast **************************************************5– Samuel is a 69-year-old male who presents to the ER after feeling dizzy. How would you diagnose orthostatic hypotension on this patient? • Systolic BP decreases more than 20 points within 3 minutes after rising. • Systolic BP decreases more than 20 points within 1 minute after standing. • Systolic BP decreases more than 20 points any time after standing.  • Any drop in blood pressure if the patient becomes weak or dizzy****************************************************6– A 56-year-old female with a no significant past medical history presents to the ER with radiating, gnawing abdominal pain. While conducting a thorough history of present illness, you discovered unintentional weight loss of over 20 pounds. Physical exam findings show: poor skin turgor, icteric sclera, LUQ bruit, and hepatomegaly. What is the most likely diagnosis? • Cirrhosis • Pancreatic cancer  • Celiac disease  • Gastritis   Health Science Science Nursing NURS ANP 652 Share QuestionEmailCopy link Comments (0)

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