APEA 3P Exam Prep-
Cardiovascular(This is a study set for
the APEA 3P exam that is required to
be taken in the third “P” course of Post
University’s MSN-FNP degree
program).
Which patient could be expected to have the highest systolic blood pressure?
A 21-year-old male
A 50-year-old perimenopausal female
A 35-year-old patient with Type 2 diabetes
A 75-year-old male – Answer D.
Nearly 25% of the US population has hypertension. The greatest incidence is in
older adults because of changes in the intima of vessels as aging and calcium
deposition occur. Males of any age are more likely to be hypertensive than females
of the same age. African American adults have the highest incidence in the general
population. Among adolescents, African Americans and Hispanics have the highest
rates. Hypertension occurs in 5-10% of pregnancies.
Mrs. Brandy is having contrast dye next week for a heart catheterization. What drug
does NOT need to be stopped prior to her catheterization?
Naproxen
Furosemide
Metformin
Losartan – Answer D.
Naproxen and furosemide should be stopped for 24 hours prior to the
catheterization. Metformin should be stopped 48 hours prior to the catheterization.
Furosemide is stopped because it contributes to volume depletion. NSAIDs like
naproxen are withheld because of the impact on renal prostaglandin production.
Metformin has been implicated in lactic acidosis when combined with contrast dye in
an impaired kidney.
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