A patient with chronic obstructive pulmonary disease (COPD) has increasing dyspnea and is being evaluated for heart failure (HF). Which test will be ordered to help differentiate between dyspnea due to lung dysfunction and dyspnea due to HF?
a. Atrial natriuretic hormone (ANH) level
b. Brain natriuretic peptide (BNP) level
c. Cardiac enzymes
d. Electrocardiogram (ECG)
ANS: B
The BNP is used to differentiate that dyspnea is due to HF and not lung dysfunction. The other tests will all be a part of the diagnostic workup but do not help with this distinction.
You might also like to view...
A Puerto Rican American patient uses dramatic body language when describing recent life events. Select the most accurate explanation of the patient's behavior
a. The nurse has misinterpreted the behavior. b. The patient has a histrionic personality disorder. c. Members of this culture use dramatic body language as the norm. d. The patient believes dramatic body language is sexually appealing.
A client who is 7 months pregnant states, "I'm worried that something will happen to my baby." The nurse's best response is:
a. "There is nothing to worry about." b. "The doctor is taking good care of you and your baby." c. "Tell me about your concerns." d. "Your baby is doing fine."
An instructor has just completed a class on the development of the placenta and the activities necessary for fetal development that the placenta is involved with
When the students were given a quiz on this material, which responses regarding the activities would indicate to the instructor that further teaching is needed? (Select all that apply.) a. Skeletal d. Transport b. Metabolic e. Neurologic c. Cardiovascular f. Endocrine
The pediatric nurse is caring for a patient who is undergoing thyroid hormone replacement. The nurse observes that the child is experiencing nausea and vomiting, abdominal pain, low blood pressure, and cyanosis
Based on these symptoms, the nurse suspects: A) adrenal crisis. B) Grave disease. C) Cushing syndrome. D) diabetic ketoacidosis.