Cardiovascular AlterationsAt least once a year, the media report on a seemingly healthy teenage athlete collapsing during a sports game and dying of heart complications. These incidents continue to ou

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Cardiovascular Alterations

At least once a year, the media report on a seemingly healthy teenage athlete collapsing during a sports game and dying of heart complications. These incidents continue to outline the importance of physical exams and health screenings for teenagers, especially those who play sports. During these health screenings, examiners check for cardiovascular alterations such as heart murmurs because they can be a sign of an underlying heart disorder. Since many heart alterations rarely have symptoms, they are easy to miss if health professionals are not specifically looking for them. Once cardiovascular alterations are identified in patients, it is important to refer them to specialists who can further investigate the cause.

Consider the following scenario:

A 16-year-old male presents for a sports participation examination. He has no significant medical history and no family history suggestive of risk for premature cardiac death. The patient is examined while sitting slightly recumbent on the exam table and the advanced practice nurse appreciates a grade II/VI systolic murmur heard loudest at the apex of the heart. Other physical findings are within normal limits, the patient denies any cardiovascular symptoms, and a neuromuscular examination is within normal limits. He is cleared with no activity restriction. Later in the season he collapses on the field and dies.

To Prepare

Review the scenario provided, as well as Chapter 25 in the Huether and McCance text. Consider how you would diagnose and prescribe treatment for the patient.

Select one of the following patient factors: genetics, ethnicity, or behavior. Reflect on how the factor you selected might impact diagnosis and prescription of treatment for the patient in the scenario.


a description of how you would diagnose and prescribe treatment for the patient in the scenario. Then explain how the factor you selected might impact the diagnosis and prescription of treatment for that patient.

Required Readings

** Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.

Chapter 23, “Structure and Function of the Cardiovascular and Lymphatic Systems”

This chapter examines the circulatory system, heart, systemic circulation, and lymphatic system to establish a foundation for normal cardiovascular function. It focuses on the structure and function of various parts of the circulatory system to illustrate normal blood flow.

Chapter 24, “Alterations of Cardiovascular Function”

This chapter presents the pathophysiology, clinical manifestations, evaluation, and treatment of various cardiovascular disorders. It focuses on diseases of the veins and arteries, disorders of the heart wall, heart disease, and shock.

Chapter 25, “Alterations of Cardiovascular Function in Children”

This chapter examines cardiovascular disorders that affect children. It distinguishes congenital heart disease from acquired cardiovascular disorders.

** Hammer, G. G. , & McPhee, S. (2014). Pathophysiology of disease: An introduction to clinical medicine. (7th ed.) New York, NY: McGraw-Hill Education.

Chapter 11, “Cardiovascular Disorders: Vascular Disease”

This chapter begins with an overview of the vascular component of the cardiovascular system and how the cardiovascular system is normally regulated. It then describes three common vascular disorders: atherosclerosis, hypertension, and shock.

**American Heart Association. (2012). Retrieved from

**Million Hearts. (2012). Retrieved from

**National Heart, Lung, and Blood Institute. (2012). Retrieved from

Instructor Requirements

As advanced practice nurses, we are scholars, nurse researchers and scientists. As such, please use Peer-Reviewed scholarly articles and websites designed for health professionals (not designed for patients) for your references. Students should be using the original citation in Up

to Date and go to that literature as a reference. The following are examples (not all inclusive) of resources/websites deemed inadmissible for scholarly reference:

1. Up to Date (must use original articles from Up to Date as a resource)

2. Wikipedia

3. non healthcare professionals section



– This work should have  Introduction and  Conclusion

– It should have at least 3 current references

– APA format

– At least 2 pages, references page not included

Cardiovascular AlterationsAt least once a year, the media report on a seemingly healthy teenage athlete collapsing during a sports game and dying of heart complications. These incidents continue to ou
Problem V- (10 points) Beal’s Hardware, a small company, has set up a new office. The table below shows the revenue expected for the first five months of operation, in addition to the costs for office remodeling, etc. July August September October November REVENUE $65,000 $68,000 $66,000 $61,000 $67,000 COSTS Office Remodeling $25,000 $18,000 $11,000 $7,500 $2,000 Salaries $31,000 $32,100 $33,000 $31,600 $32,000 Training $6,000 $6,000 $10,000 $10,000 $10,000 Equipment Lease $8,000 $8,400 $8,000 $9,540 $10,110 Supplies $3,000 $3,150 $3,300 $3,460 $3,630 a) Determine the cash flow and accumulated cash flow for each month for the company. b) When is Beal’s expected to show a profit? Explain your answer. Problem VI- (15 points) Explain how each of the 12 principles of Agile software relate to the core values of the Agile methodology. Describe how the 12 principles are applied in real-world systems analysis and design projects. Problem VII- (10 points) “We’re a progressive company, always looking to be ahead of the power curve. We’ll give anything a whirl if it’ll put us ahead of the competition, and that includes every one of us,” says I. B. Daring, an executive with Michigan Manufacturing (2M). You are interviewing him as a preliminary step in a systems project, one in which his subordinates have expressed interest. As you listen to I. B., you look around his office to see that most of the information he has stored on shelves can be classified as internal procedures manuals. In addition, you notice a PC on a back table of I. B.’s office. The monitor’s screen is covered with dust, and the manuals stacked beside the PC are still encased in their original shrink-wrap. Even though you know that 2M uses an intranet, no cables are visible going to or from I. B.’s PC. You look up behind I. B.’s massive mahogany desk to see on the wall five framed oil portraits of 2M’s founders, all clustered around a gold plaque bearing the corporate slogan, which states, “Make sure you’re right, then go ahead.” List the elements of STROBE that you have observed during your interview with I. B. Next to each element of STROBE that you have observed, write a sentence on how you would interpret it.  Problem VIII – (20 points) Ben’s Eatery wants to install a system to record orders for pizza and chicken wings. When regular customers call Ben’s Eatery on the phone, they are asked their phone number. When the number is typed into a computer, the name, address, and last order date is automatically brought up on the screen. Once the order is taken, the total, including tax and delivery, is calculated. Then the order is given to the cook. A receipt is printed. Occasionally, special offers (coupons) are printed so the customer can get a discount. Drivers who make deliveries give customers a copy of the receipt and a coupon (if any). Weekly totals are kept for comparison with last year’s performance. A summary of the business activities for Ben’s Eatery is: – Display customer record. Input is the customer number and the customer record. Output is customer information. – Take customer order. Input is the order information (including the customer number). Output is the total amount due for the order. – Send order to cook. Input is the customer order. Output is the cook’s order. – Print customer receipt. Input is the customer order and the customer master record. Output is the customer receipt. – Deliver customer order. Input is the customer receipt and coupons. Output is the delivered receipt to the customer. – Print weekly totals. Input is the customer order and the previous year’s customer order summary. Output is the weekly performance figures that go to the supervisor. a) Draw a context-level data flow diagram for Ben’s Eatery. b) Explode the context-level diagram to show all the major processes. Call this Diagram 0. It should be a logical data flow diagram

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