NURS 642 Exam 1 questions with correct answers

NURS 642 Exam 1 questions with correct answers
Types and Surface Glycoproteins of Influenza Correct Answer-Types:
ABC
Surface Gylcoproteins: H & N


Human Influenza Viruses Correct Answer-B & C


Influenza A Correct Answer-A is primarily Avian, but can infect human
and other animals


Is further classified by H and N subtypes


Influenza High Risk groups Correct Answer-Young <24 months; 6
months-5 years
Older Adult >50
Long Term Care
Pulmonary Dx
Cardiac Dx
Chronic Dx (DM, CKD, Hepatic, Heme)
Immunosuppressed
Pregnacy and Immediate Post partum
Morbid Obesity (BMI>35)

,Severe Complications of Influenza Correct Answer-Pulmonary
Compliacations
Sepsis
AKI
MODS
Lymphopenia, Thrombocytopenia
DIC
Rhabdo
Organ-specific infections


Subjective Findings of Influenza Correct Answer-Sudden onset
symptoms
Fever (most common)
Chills, Rigors
HA
Myalgia
Malaise
Dry Cough
Nasal Discharge
Hoarseness
Sore throat


Special Subjective Considerations for Influenza Correct Answer-Assess
sick contact history

, Assess travel exposure


PE of influenza Correct Answer-Fever (>38.2)
Eyes watered/Reddened
Facial Flushing
Skin hot/Moist
Nasal mucosa hyperemic without exudate
Rales/Rhonci uncommon


Influenza testing Correct Answer-Rapid Testing- low sensitivity, may
not distinguish strains/subtypes


NAAT (few hours)
higher sensitivity
Rapid test of choice


Viral Culture (2-3 days)
nasal, sputum ot tracheal secretions
higher sensitivity, but long wait


Additional Diagnostics for Influenza Correct Answer-CXR: r/o
secondary PNA
Lobular infiltrates are rare