The Primary Care NP Sees a New Patient for a Routine

question 7

Multiple Choice

The primary care NP sees a new patient for a routine physical examination.When auscultating the heart,the NP notes a heart rate of 78 beats per minute with occasional extra beats followed by a pause.History reveals no past cardiovascular disease,but the patient reports occasional syncope and shortness of breath.The NP should:

• A) order an ECG and refer to a cardiologist.
• B) schedule a cardiac stress test and a graded exercise test.
• C) order a complete blood count (CBC) and electrolytes and consider a trial of procainamide.
• D) prescribe a β-blocker and anticoagulant and order 24-hour Holter monitoring.

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Definitions:

Total Direct Materials Cost Variance

The difference between the actual costs of direct materials used in production and the expected (or standard) costs.

Direct Materials Price

The cost of raw materials and components required for the manufacture of a product.

Direct Materials Quantity Variance

The difference between the actual quantity of materials used in production and the expected quantity, multiplied by the standard cost per unit.

Direct Materials Price Variance

The difference between the actual cost of direct materials and the expected (or standard) cost, used in manufacturing and budgeting.