NURS 620 Adult 1 Exam 2 Maryville- Questions and Answers 2022/2023
Claudication is the classic presenting symptom associated with which of the
... [Show More] following? - ANSWER arterial insufficiency
Risk factors for chronic arterial insufficiency?- - ANSWER tobacco use
You are using the CURB 65 clinical tool, for determining which patient dx with CAP should be hospitalized or treated at home. Mabel's score is 2- what should we do? - ANSWER Short inpatient stay; if she is relatively healthy, she could be closely supervised outpatient
S/S of COPD correlate with which of the following?- - ANSWER Chronic bronchitis with airway obstruction
Presents with history of asthma without treatment for a while. She reports daily but not continual symptoms that last longer than 1 week and present at night. She has been using her rescue inhaler. Her FEV1 is 60-80% predicted- how would you classify her asthma? - ANSWER moderate persistent
What is the most common bacterial pathogen in CAP? - ANSWER Streptococcus PNA
Which obstructive lung disease is reversible - ANSWER asthma
George has COPD and a 40% FEV1. How would you classify the severity of his COPD - ANSWER Stage 3
Jason age 62 has Obstructive Sleep Apnea (OSA). Which of these is a contributing factor? - ANSWER his collar size is 17 inches
A patient with CAD should be placed on which of the following as antiplatelet tx (first line) - ANSWER Aspirin
What is the desired therapeutic action of inhaled corticosteroids? - ANSWER reduction in airway inflammation
What is the appropriate tx for a pt dx with chronic venous insufficiency - ANSWER use of elastic stockings
What is the most important measurement in a pulmonary function in a patient with asthma? - ANSWER FEV forced expiratory volume
Healthy 27 yo man, dx with CAP, which one of these is the best choice of tx? - ANSWER azithromycin- macrolide
Salmeterol (Serevent) is an example of which of the following? - ANSWER long acting beta agonist(LABA)
fluticasone & budesonide (pulmocort) are examples of what? - ANSWER ICS Inhaled Corticosteroid
Ipratropium (Atrovent) is an example of what? - ANSWER Short-acting muscarinicantagonist (SAMA)
montelukast (Singulair) is an example of what? - ANSWER NON STEROIDAL PREVENTERS
Salbutamol (Ventolin) and Albuterol is an example of what? - ANSWER Short acting beta-2 andrenergic (SABA)
tiotropium (Spiriva) is an example of what? - ANSWER (LAMA) Long-acting muscarinicantagonist
What is the most important goal of treating HTN - ANSWER Avoiding disease targeted organ damage
indicates severe asthma attack, requiring emergent treatment? - ANSWER inaudible breath sounds
When should a rescue course of prednisolone be issued for a asthma attack - ANSWER anytime its needed for symptoms
What intervention would indicate a patient needs more education for her asthma? - ANSWER opening a window at night
what is usually the earliest sign of coronary artery disease (CAD) - ANSWER intermittent claudication
what characteristic is a risk factor for PVD? - ANSWER male gender
An asthmatic patient comes in for a follow up, as you assess his asthma control. He uses albuterol for wheezing, cough, SOB 1 x week. He has been to the ER once for asthma symptoms and coughs 3x a month at night. He is only prescribed albuterol. What would you add? - ANSWER Inhaled low dose corticosteroid
A patient presents with a dry cough, causing chest discomfort x 10 days. He has a runny nose and fatigue. Nurse notes late expiratory wheeze in the lower lobes and
rhinitis in the nasal passages. Denies smoking, fever, wheezing. What do we expect? - ANSWER Acute bronchitis
According to JNC 8, a 40 yo with 168/88 with CKD should have treatment with? - ANSWER Lisinopril (ACE inhibitors)
a new 58yo pt has a BP 152/90, first time seeing this patient, what should you do? - ANSWER Come back for 3 more BP checks
What HDL level is considered cardioprotective? - ANSWER >60
which of the following is the drug of choice for a African American pt with HTN and DM? - ANSWER HCTZ (diuretic)
There are 4 stages of heart failure, classified as A-D- Describe the evolution and progression of the disease - ANSWER A -Asymptomatic; B -structural change; CFatigue, DOE, -Pulmonary congestion on CXR, Cardiomegaly; D-nocturnal dyspnea, edema, JVD, S3, crackles, Pleural effusion
Patients who have symptoms of HF at rest despite medical therapy and are hospitalized or require special interventions.. which stage would it be? - ANSWER D
Risk factors for HTN - ANSWER age, race (AA), gender (male), obesity, FH, ETOH, sedentary, smoking, stress, diet
BP goals per JNC 8 - ANSWER ≤ 60 y/o or DM, CKD <140/90; ≥ 60 y/o <150/90
what are Cozaar (losartan), Benicar (olmesartan), Micardis (telmisartan), and Avapro (Irbesartan) examples of? - ANSWER angiotensin receptor blockers (ARBs)
What would you see on EKG with ischemia? - ANSWER T-wave inversion
Which of the following is in the heart and rapidly rises in the blood stream in heart failure? - ANSWER BNP
James is in your office for annual exam. His cholesterol screening is 198. Which action would you take? - ANSWER initiate drug therapy with a statin
Which diagnostic test would be used for dx of a venous embolism (gold standard)? - ANSWER Ascending venogram
Sam age 78 presents to the clinic with respiratory symptoms. His PFT- normal, total lung capacity, decreased PaO2, increased PaCO2, on assessment crackles and forced expiratory wheezes. What is our DX? - ANSWER Chronic Bronchitis [Show Less]