Per textbook, which one is not part of the System Request template?

If Wayne were to develop the following EKG rhythm change from rest to exercise on a treadmill, what would be the most appropriate response?  

If Wayne were to develop the following EKG rhythm change from rest to exercise on a treadmill, what would be an appropriate response?  

You created an exercise program for Wayne that includes resistance training at his request. However, he consistenlty reports NOT completing it. One day he states, ” I want to be stronger, but I just don’t have the time to do it all.”   Write a COMPLEX reflection that could further evoke discussions about change with Wayne. 

Which of the following statements best distinguishes a non-functional requirement from a functional requirement?

In response to Wayne’s onset of worsening symptoms, his physican ordered a resting echocardiogram. Findings suggested normal systolic function with a LVEF of 65%. However, there was severe aortic stenosis moderate aortic regurgitation. A left heart cathererization with magnetic resonance aortography was completed prior to an aortic valve replacement surgery via open heart surgery. There were no complications with the procedure.    Wayne was discharged from the hospital after 3 days and plans to attend phase 2 cardiac rehab.   Which of the following would be considered signs or symptoms of sternal dehiscence (total or partial separation of the sternal wound edges) that medical providers would encourage Wayne to monitor/watch for? (select all that apply)    

Barb is a 60yoa female referred by her physican to your phase II cardiac rehab program due to her CVD risk factor profile and a graded exercise test (GXT) that was positive for ST segment depression. A brief synopsis of Barb’s medical history, recent labs, and GXT are shown below.   Family History: mother had a CABG procedure at age 58; older sister also had a stent placed at age 60 Medications: spironolactone 50mg x 2 daily; amlodipine 100mg x 1 daily Tobacco Use: former smoker; quit 20 years ago   Height: 5′ 3”                Weight: 162lbs                      Waist Circumference: 33in Fasting Blood Glucose 110 mg/dL Urea nitrogen 10 mg/dL Creatinine 1.2 mg/dL Sodium 136 mmol/L Potassium 3.6 mmol/L Chloride 105mmol/L Total Cholesterol 192 mg/dL Triglycerides 195 mg/dL HDL-C 44 mg/dL LDL 102 mg/dL Aspartate aminotransferase (AST) 35 U/L Alanin aminotransferase (ALT) 42 U/L HbA1C 45 mmol/mol   Graded Exercise Test: Resting HR: 80bpm            Supine BP: 138/80            Standing BP: 140/82 Time Speed (mph) Grade (%) HR BP RPE MET Symptoms (0-4 scale) ECG 1 1.7 10 89         .5mm horizontal ST dep. 2 1.7 10 92         .5mm horizontal ST dep. 3 1.7 10 109 154/84 14 4.7   .5mm horizontal ST dep. 4 2.5 12 123         1mm horizontal ST dep. 5 2.5 12 136         1mm horizontal ST dep. 6 2.5 12 152 182/84 19 7.0   1.5mm horizontal ST dep. 7 1.7 0 140         1mm horizontal ST dep. 8 1.7 0 136 166/84       .5mm horizontal ST dep. 9 1.7 0 132         .5mm horizontal ST dep. 10 1.7 0 134 152/84       .5mm horizontal ST dep. 11 Resting seated 115         .5mm horizontal ST dep. 12 Resting seated 107 136/82       NSR   Which of Barb’s lab results were abnormal?

  Exercise can be used as an airway clearance technique. 

Mrs. H is a pleasant 70yoa female who has had progressive SOB over the past few years. She currently struggles to walk more than 2 city blocks at a time and does not get out of the house often.  The patient has a modest cough and brings up about 1 tsp of creamy sputum each morning. She is a current smoker and has smoked 2 packs of cigarettes per day since she was 20.  Today is her first day in your pulmonary rehab program   Looking at Mrs. H’s PFT results, is the FEV1/FVC ratio normal or abnormal?   Pre-bronchodilator: FVC: 70% predicted FEV1:  24% predicted FEV1/FVC: 35% predicted TLC: 120% predicted   Post Bronchodilator: FVC: 79% predicted; 12% change FEV1:  27% predicted; 14% change FEV1/FVC: 43% predicted; 23% change DLCO: 43% predicted

Wayne is a 49yoa male who has been aware he has a heart murmur for years. A family doctor told him they would “follow-it”. Over the past year Wayne has become increasingly breathless during daily activities. As a recreational runner, he has become frustrated with being unable to run more than 10-15 minutes at a time for the past several months. He reports occasional chest pain during exercise but has not experiences any syncope or presyncope. Before his symptoms progressed, he ran at least 4 miles every morning and competed in road races up to the half-marathon distance. He reports no family history of cardiovascular disease, does not smoke, and does not take any prescribed medications. He takes a daily multivitamin and a fish oil supplement. Additional medical information is available below.   Height: 6’1’’ Weight: 194lbs Resting BP: 118/59   Fasting Labs: Total cholesterol: 192 mg/dL LDL: 139mg/dL HDL: 52 mg/dL HbA1c: 4.8%   Resting EKG: see below     What is Wayne’s BMI classification?