True or False: Pharmacists perform very extensive cardiopulmonary exams beyond the extent of taking a blood pressure measurement and heart rate.
True
False
The Correct Answer is B
Pharmacists do not routinely perform extensive cardiopulmonary physical examinations. Their clinical assessments typically include vital signs such as blood pressure, heart rate, and sometimes basic observation (e.g., edema, respiratory effort), but comprehensive cardiopulmonary exams are generally performed by physicians, nurse practitioners, or physician assistants.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Arthritis pain: Arthritis typically causes joint stiffness, pain, and reduced mobility rather than acute changes in blood pressure with position changes. It does not produce dizziness or lightheadedness specifically associated with standing. These symptoms point toward a cardiovascular or autonomic cause rather than musculoskeletal pain.
B. Low vitamin D levels: Vitamin D deficiency is associated with bone pain, muscle weakness, and increased fracture risk. It does not cause acute postural blood pressure drops or positional dizziness. Recent vitamin D supplementation is unlikely to explain the described hemodynamic changes.
C. Previous falls in the past year: A history of falls is a risk factor and possible consequence of balance or blood pressure abnormalities, but it is not a diagnosis. Falls do not explain the current positional symptoms or documented drop in blood pressure upon standing.
D. Orthostatic hypotension: Orthostatic hypotension is defined by a significant drop in blood pressure when moving from sitting to standing, leading to dizziness or lightheadedness. The client’s blood pressure change meets diagnostic criteria and is likely exacerbated by antihypertensive medications and age-related autonomic dysfunction.
Correct Answer is ["A","B","C"]
Explanation
A. Fatigue: Reduced cardiac output limits oxygen delivery to tissues, leading to generalized fatigue and decreased exercise tolerance. This is a common presenting symptom in heart failure and other cardiac conditions, especially in older adults.
B. Chest pain: Chest pain is a classic symptom of myocardial ischemia and other cardiac events. It results from inadequate coronary perfusion and may signal angina or acute coronary syndrome requiring urgent evaluation.
C. Edema: Peripheral edema occurs when impaired cardiac function leads to venous congestion and fluid accumulation in dependent tissues. It is commonly seen in right-sided or advanced heart failure due to increased venous pressure.
D. Bilateral tingling in feet: Tingling in the feet is more suggestive of peripheral neuropathy, electrolyte imbalance, or diabetic complications. It is not a typical manifestation of primary cardiac dysfunction.
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