NURS 5461 Final Exam
QUESTIONS AND VERIFIED
CORRECT ANSWERS
GRADED A+[ LATEST
UPDATES] 100%
GUARANTEED PASS
Most likely to be asthma if? - CORRECT ANSWER-More than one type of symptom (wheeze,
shortness of breath, cough, chest tightness)
Symptoms often worse at night or in the early morning
Symptoms vary over time and in intensity
Symptoms are triggered by viral infections, exercise, allergen exposure, changes in weather,
laughter, irritants such as car exhaust fumes, smoke, or strong smells
Diagnosis of Asthma - CORRECT ANSWER-An increase in FEV1 of 12% with a minimum increase
of*200 mL in FEV1* *after bronchodilator* establishes the presence of airflow reversibility Best
test to rule OUT asthma is a methalcholine challenge...if that is negative, then the person does
not have asthma
Document that FEV1/FVC is reduced (at least once, when FEV1 is low)
FEV1/ FVC ratio is normally >0.75 - 0.80 in healthy adults
Assessment of Asthma - CORRECT ANSWER-Asthma control - two domains
Assess symptom control over the last 4 weeks
, Assess risk factors for poor outcomes, including low lung function
Treatment issues
Check inhaler technique and adherence
Ask about side-effects
Does the patient have a written asthma action plan?
What are the patient's attitudes and goals for their asthma?
Comorbidities
Think of rhinosinusitis, GERD, obesity, obstructive sleep apnea, depression, anxiety
These may contribute to symptoms and poor quality of life
When should you measure lung function after asthma diagnosis - CORRECT ANSWER-3-6
months after starting treatment
What is the most common controller for asthma? - CORRECT ANSWER-AN ICS
Anticholinergics such as tiotropium can help do what? - CORRECT ANSWER-Bronchodilation by
reducing parasympathetic nerve reflexes that cause a reduced airway. MUSCARINIC receptor
binding and inhibits acetylcholine
What is a good add on medication for Stage 5 asthmatics with severe allergic asthma? -
CORRECT ANSWER-anti-IgE (omalizumab)
What is a good add on medication for stage 5 asthmatics with eosinophilic asthma - CORRECT
ANSWER-anti-IL5 (mepolizumab (SC) or reslizumab (IV)
How often should you review your asthma? - CORRECT ANSWER-1-3 months after treatment
started, then every 3-12 months
During pregnancy, every 4-6 weeks
QUESTIONS AND VERIFIED
CORRECT ANSWERS
GRADED A+[ LATEST
UPDATES] 100%
GUARANTEED PASS
Most likely to be asthma if? - CORRECT ANSWER-More than one type of symptom (wheeze,
shortness of breath, cough, chest tightness)
Symptoms often worse at night or in the early morning
Symptoms vary over time and in intensity
Symptoms are triggered by viral infections, exercise, allergen exposure, changes in weather,
laughter, irritants such as car exhaust fumes, smoke, or strong smells
Diagnosis of Asthma - CORRECT ANSWER-An increase in FEV1 of 12% with a minimum increase
of*200 mL in FEV1* *after bronchodilator* establishes the presence of airflow reversibility Best
test to rule OUT asthma is a methalcholine challenge...if that is negative, then the person does
not have asthma
Document that FEV1/FVC is reduced (at least once, when FEV1 is low)
FEV1/ FVC ratio is normally >0.75 - 0.80 in healthy adults
Assessment of Asthma - CORRECT ANSWER-Asthma control - two domains
Assess symptom control over the last 4 weeks
, Assess risk factors for poor outcomes, including low lung function
Treatment issues
Check inhaler technique and adherence
Ask about side-effects
Does the patient have a written asthma action plan?
What are the patient's attitudes and goals for their asthma?
Comorbidities
Think of rhinosinusitis, GERD, obesity, obstructive sleep apnea, depression, anxiety
These may contribute to symptoms and poor quality of life
When should you measure lung function after asthma diagnosis - CORRECT ANSWER-3-6
months after starting treatment
What is the most common controller for asthma? - CORRECT ANSWER-AN ICS
Anticholinergics such as tiotropium can help do what? - CORRECT ANSWER-Bronchodilation by
reducing parasympathetic nerve reflexes that cause a reduced airway. MUSCARINIC receptor
binding and inhibits acetylcholine
What is a good add on medication for Stage 5 asthmatics with severe allergic asthma? -
CORRECT ANSWER-anti-IgE (omalizumab)
What is a good add on medication for stage 5 asthmatics with eosinophilic asthma - CORRECT
ANSWER-anti-IL5 (mepolizumab (SC) or reslizumab (IV)
How often should you review your asthma? - CORRECT ANSWER-1-3 months after treatment
started, then every 3-12 months
During pregnancy, every 4-6 weeks
