patient with congestive heart failure presents with jugular venous distention, ascites, and peripher
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patient with congestive heart failure presents with jugular venous distention, ascites, and peripheral edema. Blood work shows elevated levels of plasma ANP ANP increases Na+excretion by which of the following mechanisms? A.Contracting afferent arterioles B. Decreasing the C. Decreasing sodium reabsorption by the inner medullary collecting duct D. Increasing permeability of the apical membrane of the collecting duct epithelial cells E. Increasing sodium reabsorption by the proximal tubules Which of the following usually appears first in the low part of the body? A.cardiac edema B.brain Edema C.hepatic edema D.Renal edema E.pulmonary edema Severe acidosis causes myocardial contractility: A.Strength and weaken B.weaken and the strength C. Decrease D.increase E.the same Early blood pressure drop in hemorrhagic shock is mainly related to A.Sympathy-related to the suppression of the adrenal medulla system B. Low blood volume leads to insufficient return to heart blood volume, which is related to reduced cardiac output C. Decreased vascular tone and decreased peripheral resistance D. Insufficient blood perfusion, related to massive expansion of microcirculation blood vessels E. Severe hypoxic energy metabolism disorder Which of the following belongs to subhealth condition A.Hypertension B.Diabetes C.artherosclerosis D.Fatigue syndrome E.Hyperlipemia 6.A 50-year-old woman comes to the emergency department because of palpitations, abdominal cramps, nausea, and vomiting for an hour. She says she took 10 of her “water pills (diuretics)” at lunch time. Medical history includes hypertension, congestive heart failure, and chronic obstructive pulmonary disorder. Examination shows generalized muscle weakness. ECG shows U waves. Which of the following electrolyte disturbances is most likely causing this patient’s symptoms? A.Hypokalemia B.Hyperkalemia C. Hypernatremia D.Hypocalcemia
SCIENCE
HEALTH SCIENCE
NURSING
BIOS S-162B
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