A 56-year-old is being seen as a new patient in a clinic. In…

A 56-year-old is being seen as a new patient in a clinic. In the history of the patient they admit to smoking 2 packs of cigarettes/day and weigh about 300 pounds. Today their blood pressure is elevated at 155/95 mmHg and lab results show serum cholesterol is elevated at 295 mg/dL with a low HDL of 22 mg/dL. Which of the following is a non-modifiable risk factor associated with coronary artery disease?

When blood pressure , the kidneys release the enzyme renin i…

When blood pressure , the kidneys release the enzyme renin into the bloodstream. Renin breaks down from the liver into angiotensin I. Angiotensin I travels through the bloodstream and is then converted into angiotensin II by angiotensin-converting enzyme (ACE). Angiotensin II is an active hormone that causes the muscular walls of small arteries (arterioles) to constrict, leading to an in blood pressure. It also stimulates the adrenal glands to release and anti-diuretic hormones, causing retention of and excretion of potassium through urine, leading to water retention, increasing blood volume, and ultimately raising blood pressure.

A child was playing soccer when an asthmatic attack occurred…

A child was playing soccer when an asthmatic attack occurred. The child was transported to the local emergency room and a physical exam reveals subcostal and intercostal retractions. The child reports that breathing is difficult with feelings that, “I cannot get enough air.” Which of the following adventitious sounds would the nurse expect to hear when listening to the lungs?