All the following are false in thrombocytopenia except:

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Cardiovascular Disease NCLEX Questions Questions

Question 1 of 5

All the following are false in thrombocytopenia except:

Correct Answer: B

Rationale: DIC diagnosis involves low platelets and fibrinogen due to consumption. HIT can occur with heparinoids (A is false), TTP is diagnosed clinically (C is false), and transfusions below 20,000 depend on bleeding risk (D is false).

Question 2 of 5

62 yo man with > 75% R renal artery stenosis on CTA. PMH - CAD and HTN. His medications: ACEI, BB, ASA, and statin. His BP is 126/78 and his HR is 64. PE is unremarkable. Creatinine is 1.1 and stable for 1 year. CT - NL size kidneys. Which ONE of the following describes the MOST appropriate course of action at this time?

Correct Answer: A

Rationale: In the absence of deteriorating renal function or refractory hypertension, conservative management with regular follow-up is sufficient for this patient.

Question 3 of 5

Left-sided heart failure is characterized by

Correct Answer: A

Rationale: Left-sided heart failure is characterized by pulmonary congestion and edema. Right-sided heart failure is characterized by congestion in the systemic venous system that increases systemic vascular resistance. Jugular vein distention is a classic sign of right-sided heart failure. Peripheral edema is seen in right-sided failure.

Question 4 of 5

Which statement is true about the incidence of heart failure?

Correct Answer: B

Rationale: Heart failure is the fastest growing cardiac disorder at this time. The incidence and hospitalization rates associated with heart failure are reflective of the aging population in the United States. The incidence of heart failure is 10 per 1000 population in people over 65. Heart failure affects about 5.7 million Americans. More than 550,000 new cases of heart failure are diagnosed in the United States each year.

Question 5 of 5

A patient with heart failure is taking Losartan and Spironolactone. The patient is having EKG changes that presents with tall peaked T-waves and flat p-waves. Which of the following lab results confirms these findings?

Correct Answer: C

Rationale: Tall peaked T-waves indicate hyperkalemia (K+ 8.0, C), a side effect of Spironolactone, a potassium-sparing diuretic.

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