Nrnp 6560 Final Exam Test Bank 2023-2024real Exam 200+ Questions And Correct Answers With Rationales |agrade |walden

NRNP 6560 FINAL EXAM TEST BANK 2023-2024REAL EXAM 200+ QUESTIONS AND CORRECT ANSWERS WITH RATIONALES |AGRADE |WALDENUNIVERSITY Question 1 S. is a 59-year-old female who has been followed for several years for aortic regurgitation. Serial echocardiography has demonstrated normal ventricular function, but the patient was lost to follow-up for the last 16 months and now presents complaining of activity intolerance and weight gain. Physical examination reveals a grade IV/VI diastolic aortic murmur and 2+ lower extremity edema to the midcalf. The AGACNP considers which of the following as the most appropriate management strategy? A. Serial echocardiography every 6 months B. Begin a calcium channel antagonist C. Begin an angiotensin converting enzyme (ACE) inhibitor D. Surgical consultation and intervention RATIONALE: C. Begin an angiotensin converting enzyme (ACE) inhibitor The patient is having grade 6 diastolic aortic murmur. The murmur is not accompanied by any serious complications because there is a 2+ lower extremity edema to the midcalf. Angiotensin converting enzyme (ACE) inhibitor lowers the blood pressure. High blood pressure often worsens the underlying conditions that cause heart murmurs. Beginning an angiotensin converting enzyme (ACE) inhibitor will help in the management of diastolic aortic murmur by dealing with the conditions that cause