CCC3 UPDATED EXAM GUIDE QUESTIONS AND SOLUTIONS
GUARANTEE A+
✔✔4 reasons that early detection of TB is important-SATA - ✔✔•More effective
treatment
•Minimize the spread
•Fewer complications
•Shortens the period of disability
•Less side-effects from medications
✔✔What causes cystic fibrosis? - ✔✔Cystic fibrosis is cause by genetic mutation
✔✔Diagnostic test for cystic fibrosis - ✔✔•The sweat chloride test.
•High chloride levels in sweat builds up.
✔✔What are the different types of pneumonia - ✔✔•(besides bacterial and viral, how
and where you get it?)
•Community acquired - within 48 hrs of admission
•Healthcare acquired - after 48 hrs is HAI
•Ventilator acquired
✔✔Healthcare associated pneumonia is more, or less, difficult to treat than community
acquired? - ✔✔•MORE difficult.
•They didn't come to hospital for pneumonia, now this is a secondary issue.
•The pathogens in the hospital are more resistant to treatments.
✔✔Most common cause of acute bronchitis? - ✔✔Virus
✔✔Discharge teaching for bronchitis - ✔✔•Avoid respiratory irritants, large crowds, and
coughing people.
✔✔How can we thin out sputum? - ✔✔•Drink lots of water. Increase fluid intake.
✔✔Common Cause of COPD - ✔✔SMOKING
✔✔Describe barrel chest and why it occurs - ✔✔•Air trapping: when they exhale, they
do not expel all the air that they breathe. Over time causes hyperextension of lungs.
•Chest must expand to accommodate.
✔✔What is the drive to breathe dependent upon in Emphysema - ✔✔•It is dependent
upon low oxygen levels.
•
•Normal - rising co2 levels
•COPD - trapped co2 causes low oxygen
, •
•AVOID LONG TERM OXYGEN USE
✔✔Which disease is more common in COPD than in the general population -
✔✔•GERD,
•
•Lungs expand, presses on diaphragm, into the stomach. Resulting in acid reflux.
✔✔Smokers....try again and again to quit - ✔✔•Keep encouraging to try again
✔✔Most likely cause of wheezing - ✔✔Asthma
✔✔Most common cause of asthma - ✔✔allergies
✔✔What question would be most important to ask an asthma patient - ✔✔•What
triggers your asthma?
✔✔Two Breath sounds in asthma - ✔✔•Wheezing
•Silent chest/absent breath sounds
•
•
•If silent breath sounds immediately call rapid response and notify provider. Call 911.
ER.
✔✔Common side effect of albuterol - ✔✔tachycardia
✔✔How do patients monitor their asthma from home? - ✔✔•Peak flow meter
✔✔Symptoms of a pulmonary embolism - ✔✔sudden dyspnea
sudden sharp chest or upper abdominal pain
cyanosis
tachycardia
drop in BP
✔✔What immediate actions should you take for a suspected pulmonary embolism -
✔✔•Provide oxygen (nonrebreather mask/high level oxygen delivery)
•Reposition/notify provider
•
•PE occurs due to blood clot in lung.
•If a pulmonary embolism is the known cause of difficulty breathing (dyspnea)
•If the cause of difficulty breathing is unknown, elevate head of bed
✔✔What is enoxaparin? - ✔✔low molecular weight heparin
GUARANTEE A+
✔✔4 reasons that early detection of TB is important-SATA - ✔✔•More effective
treatment
•Minimize the spread
•Fewer complications
•Shortens the period of disability
•Less side-effects from medications
✔✔What causes cystic fibrosis? - ✔✔Cystic fibrosis is cause by genetic mutation
✔✔Diagnostic test for cystic fibrosis - ✔✔•The sweat chloride test.
•High chloride levels in sweat builds up.
✔✔What are the different types of pneumonia - ✔✔•(besides bacterial and viral, how
and where you get it?)
•Community acquired - within 48 hrs of admission
•Healthcare acquired - after 48 hrs is HAI
•Ventilator acquired
✔✔Healthcare associated pneumonia is more, or less, difficult to treat than community
acquired? - ✔✔•MORE difficult.
•They didn't come to hospital for pneumonia, now this is a secondary issue.
•The pathogens in the hospital are more resistant to treatments.
✔✔Most common cause of acute bronchitis? - ✔✔Virus
✔✔Discharge teaching for bronchitis - ✔✔•Avoid respiratory irritants, large crowds, and
coughing people.
✔✔How can we thin out sputum? - ✔✔•Drink lots of water. Increase fluid intake.
✔✔Common Cause of COPD - ✔✔SMOKING
✔✔Describe barrel chest and why it occurs - ✔✔•Air trapping: when they exhale, they
do not expel all the air that they breathe. Over time causes hyperextension of lungs.
•Chest must expand to accommodate.
✔✔What is the drive to breathe dependent upon in Emphysema - ✔✔•It is dependent
upon low oxygen levels.
•
•Normal - rising co2 levels
•COPD - trapped co2 causes low oxygen
, •
•AVOID LONG TERM OXYGEN USE
✔✔Which disease is more common in COPD than in the general population -
✔✔•GERD,
•
•Lungs expand, presses on diaphragm, into the stomach. Resulting in acid reflux.
✔✔Smokers....try again and again to quit - ✔✔•Keep encouraging to try again
✔✔Most likely cause of wheezing - ✔✔Asthma
✔✔Most common cause of asthma - ✔✔allergies
✔✔What question would be most important to ask an asthma patient - ✔✔•What
triggers your asthma?
✔✔Two Breath sounds in asthma - ✔✔•Wheezing
•Silent chest/absent breath sounds
•
•
•If silent breath sounds immediately call rapid response and notify provider. Call 911.
ER.
✔✔Common side effect of albuterol - ✔✔tachycardia
✔✔How do patients monitor their asthma from home? - ✔✔•Peak flow meter
✔✔Symptoms of a pulmonary embolism - ✔✔sudden dyspnea
sudden sharp chest or upper abdominal pain
cyanosis
tachycardia
drop in BP
✔✔What immediate actions should you take for a suspected pulmonary embolism -
✔✔•Provide oxygen (nonrebreather mask/high level oxygen delivery)
•Reposition/notify provider
•
•PE occurs due to blood clot in lung.
•If a pulmonary embolism is the known cause of difficulty breathing (dyspnea)
•If the cause of difficulty breathing is unknown, elevate head of bed
✔✔What is enoxaparin? - ✔✔low molecular weight heparin
