Midterm Exam: NR571/ NR 571 (New 2023/ 2024 Update) Complex Diagnosis & Management in Acute Care | Complete Guide with Questions and Verified
... [Show More] Answers|100% Correct – Chamberlain
QUESTION
Correct – Chamberlain
Ipratropium Bromide
Answer:
A short-acting anticholinergic, when administered with a
SABA, may improve symptoms in adolescents and adults.
QUESTION
IV Magnesium Sulfate
Answer:
Not recommended for routine use but may be beneficial in adults who fail to respond to initial
treatment and have persistent hypoxemia.
QUESTION
Not for asthma exacerbation
Answer:
leukotriene receptor antagonists, inhaled cor- ticosteroid-long-acting beta agonist combinations,
sedatives, and helium-oxygen therapy, Intravenous aminophylline and theophylline
QUESTION
Considerations in pulmonology referral
Answer:
inadequate control of symptoms. life-threatening asthma exacerbation, or therapeutic goals of
therapy after 3-6 months are not met
Midterm Exam: NR571/ NR 571 (New
2023/ 2024 Update) Complex Diagnosis &
QUESTION
Follow-up after discharge of asthma exacerbation
Answer:
72 hours to evaluate the efficacy of the prescribed treatment plan.
QUESTION
patient's role for asthma
Answer:
recognizing and control trigger exposures; taking and managing medications as prescribed;
tracking symptoms and knowing when to seek treatment; seeking immediate treatment for
worsening symptoms are the
QUESTION
provider's role for asthma
Answer:
prescribing and educating the patient on the proper administration of medication, developing a
customized patient symptom monitoring and treatment plan; scheduling routine follow-up visits,
and knowing when to refer the patient to a specialist for further management.
QUESTION
hallmark of COPD
Answer:
Extensive airway destruction is seen, in the advanced stages of
QUESTION
risk factors in COPD
Answer:
smoking( main reason), exposure to secondhand smoke, environmental irritants, occupational
exposures, childhood pulmonary infections, HIV, genetic predisposition
QUESTION
respiratory infections
Answer:
COPD patients are also prone to frequent ?, and are the cause of acute exacerbation
QUESTION
COPD baseline symptoms
Answer:
exertional dyspnea, wheezing, chest tightness, fatigue, and chronic cough/ in (acute
exacerbation), respiratory distress are s/s
QUESTION
Common complaints COPD exacerbation
Answer:
air hunger; increased cough; a change in color, viscosity, or amount of mucus; more noticeable
wheezing than normal; dizziness or lightheadedness (due to hyperventilation and hypercapnia);
worsened fatigue; trouble sleeping; headaches; severe anxiety, fear, or sense of impending doom;
chest tightness; and fever may be present.
QUESTION
Objective findings acute COPD exacerbation
Answer:
tachypnea, tachycardia, hy- poxia, hypercapnia, inspiratory and expiratory wheezing, decreased
breath sounds due to limited airflow, acidosis may be present, which can lead to death
QUESTION
differentials for COPD
Answer:
pneumonia, upper respiratory tract infection, pul- monary emboli, reactive airway disease,
congestive heart failure, pneumothorax, arrhythmias and myocardial infarction, upper airway
obstruction, environmental irritants, dehydration resulting in thickened bronchial secretions are [Show Less]