Mrs. Saraceno is a 71-year-old female who had an episode of acute pulmonary

edema following an endovascular aneurysm repair. She was managed successfully with a loop diuretic and is ultimately discharged on furosemide 60 mg daily and instructed to follow up with cardiology. She is seen in the office postoperatively 2 weeks after discharge. She has not yet seen a cardiologist but has continued all discharge medications. Her metabolic panel is as follows: Na+ 126 mEq/L K+ 4.0 mEq/L Cl- 93 mEq/L CO2 28 mEq/L BUN 40 mg/dL Cr 1.3 mg/dL The AGACNP recognizes that the patient likely has which abnormality as a consequence of diuretic overuse?

A.Hyponatremia      B. Hypokalemia      C. Metabolic acidosis      D.Intrarenal failure

 

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Ms. Carson is a 71-year-old female who presents with significant pleuritic-type

chest pain. She has no known cardiopulmonary history and does not smoke cigarettes. Her history is significant only for an upper endoscopy this morning for evaluation of severe gastroesophageal reflux disease (GERD). She tolerated the procedure well and was discharged home. Over the afternoon she developed worsening pain on the left side of her chest and finally had to come to the emergency department. Her vital signs are as follows: temperature 100.0°F, pulse 116 bpm, respiratory rate 22 breaths per minute, and blood pressure 96/60 mm Hg. The AGACNP orders which of the following diagnostic studies to confirm the suspected diagnosis?

 

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