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NRNP 6566 Week 3 Knowledge Check (Latest Version) 100% Correct.
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NRNP 6566 Week 3 Knowledge Check (Latest Version) 100% Correct.
NRNP 6566 Week 3 Knowledge Check
- 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?
- 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: What is your working diagnosis and what two initial medications would you prescribe for this patient?
- A 63-year-old female has been successfully cardioverted and is now on amiodarone for rhythm maintenance. The patient is on the following medications: What interactions are possible and how would you monitor and adjust for them.
- What is your interpretation of this 12-lead EKG?
- 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?
- Mrs. 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. She also takes an 81 mg aspirin every day. Based on her CHADS2 score and HAS-BLED score, would you recommend starting her on anticoagulation?
- What data would help you explain why this is important preventative step for the patient? What is your interpretation of this 12-lead EKG?
- A 59-year-old male complains of dizziness, palpitations, weakness, and chest tightness. EKG shows atrial fibrillation with rapid ventricular response. His blood pressure is very labile, with readings of 70/42 to 110/66. Heart rate ranges from 150—210. Because he is hemodynamically unstable, immediate electric cardioversion is considered. Prior to the procedure, what testing is essential to complete?
- A 79-year-old male with a history of atrial fibrillation is taking the following medications: What medication could cause these lab results?
- 10. What is your interpretation of this 12-lead EKG? 2. What initial treatment is indicated?
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NRNP 6566 Week 3 Knowledge Check
• Question 1
Mrs. 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?
Correct Answer:
CHADS2 score=2 (HTN, T2DM)
A score of greater than 2 is considered high risk for stroke.
CHA2DS2-VASc score=5 (age >65, female, HTN, T2DM, coronary artery disease [CAD])
A score of greater than 2 is ...
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