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NURS 5461/ NURS5461 Final Exam – Adult Gerontology Management Across the Continuum of Care Guide| UTA (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A

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NURS 5461/ NURS5461 Final Exam – Adult Gerontology Management Across the Continuum of Care Guide| UTA (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A QUESTION bronchictasis chronic cough with LARGE amount of secretions QUESTION sinusitis is not treated with abx until Answer: pt has been experiencing symptoms for 7 days or they have worsened QUESTION what is key to asthma diagnosis? Answer: VARIABILITY in symptoms - changing throughout the day, over time, varies in intensity; using PEF or spirometry to confirm the presence of airflow limitation QUESTION preferred asthma treatment steps 1-2 Answer: low dose ICS-formoterol for as needed basis QUESTION step 3 asthma treatment plan Answer: low dose mainetance ICS-formoterol QUESTION step 4 asthma treatment plan Answer: medium dose maintenance ICS formoterol QUESTION step.5 asthma treatment plan Answer: Add on LAMA with high dose maintenance ICS-formoterol QUESTION why is SABA not considered first line tx for asthma anymore? Answer: bc longterm use of SABA has been shown to increase exacerbations and mortality QUESTION types of ICS-formoterol to be used in asthma tx Answer: - budesonide-formoterol - beclometasone-formoterol (only in adults) QUESTION if a pt has both asthma and COPD symptoms, the treatment is Answer: treat it like asthma QUESTION clinical indicators of COPD Answer: - dyspnea - chronic cough - sputum production - wheezing and chest tightness - fatigue - weight loss, anorexiaq QUESTION FEV1/FVC ratio COPD diagnosis Answer: post bronchodilator ratio of 0.7 = mandatory for diagnosis of COPD QUESTION when to prescribe bronchodilator (either LABA or LAMA)in pt with COPD Answer: - 0 to 1 moderate exacerbation - mMRC 0-1 - CAT 10 GROUP A QUESTION when to prescribe LABA+LAMA in pt with COPD Answer: - 0 to 1 moderate exacerbation - mMRC 2 - CAT 10 GROUP B QUESTION when to prescribe LABA + LAMA + ICS in COPD Answer: - 2 moderate exacerbations or 1 leading to hospitalization - if blood eos 300 QUESTION mild COPD exacerbation should be treatd with Answer: SABA only QUESTION moderate COPD exacerbation should be treated with Answer: SABA + oral corticosteroids; possible abx QUESTION severe COPD exacerbation may be treated with

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NURSl 5461/l NURS5461l Finall Examl –l
Adultl Gerontologyl Managementl Acrossl
thel Continuuml ofl Carel Guide|l UTAl
(Latestl 2026/l 2027l Update)l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A

Q:l bronchictasis
Answer:
chronicl coughl withl LARGEl amountl ofl secretions



Q:l sinusitisl isl notl treatedl withl abxl until
Answer:
ptl hasl beenl experiencingl symptomsl forl >l 7l daysl orl theyl havel worsened



Q:l whatl isl keyl tol asthmal diagnosis?
Answer:
VARIABILITYl inl symptomsl -l changingl throughoutl thel day,l overl time,l variesl inl
intensity;l usingl PEFl orl spirometryl tol confirml thel presencel ofl airflowl limitation



Q:l preferredl asthmal treatmentl stepsl 1-2
Answer:
lowl dosel ICS-formoteroll forl asl neededl basis

,Q:l stepl 3l asthmal treatmentl plan
Answer:
lowl dosel mainetancel ICS-formoterol



Q:l stepl 4l asthmal treatmentl plan
Answer:
mediuml dosel maintenancel ICSl formoterol



Q:l step.5l asthmal treatmentl plan
Answer:
Addl onl LAMAl withl highl dosel maintenancel ICS-formoterol



Q:l whyl isl SABAl notl consideredl firstl linel txl forl asthmal anymore?
Answer:
bcl longterml usel ofl SABAl hasl beenl shownl tol increasel exacerbationsl andl mortality



Q:l typesl ofl ICS-formoteroll tol bel usedl inl asthmal tx
Answer:
-l budesonide-formoterol
-l beclometasone-formoteroll (onlyl inl adults)



Q:l ifl al ptl hasl bothl asthmal andl COPDl symptoms,l thel treatmentl is
Answer:
treatl itl likel asthma

,Q:l clinicall indicatorsl ofl COPD
Answer:
-l dyspnea
-l chronicl cough
-l sputuml production
-l wheezingl andl chestl tightness
-l fatigue
-l weightl loss,l anorexiaq



Q:l FEV1/FVCl ratiol COPDl diagnosis
Answer:
postl bronchodilatorl ratiol ofl <l 0.7l =l mandatoryl forl diagnosisl ofl COPD



Q:l whenl tol prescribel bronchodilatorl (eitherl LABAl orl LAMA)inl ptl withl COPD
Answer:
-l 0l tol 1l moderatel exacerbation
-l mMRCl 0-1
-l CATl <l 10

GROUPl A



Q:l whenl tol prescribel LABA+LAMAl inl ptl withl COPD
Answer:
-l 0l tol 1l moderatel exacerbation
-l mMRCl >l 2
-l CATl >l 10l

GROUPl B



Q:l whenl tol prescribel LABAl +l LAMAl +l ICSl inl COPD

, Answer:
-l >l 2l moderatel exacerbationsl orl 1l leadingl tol hospitalization
-l ifl bloodl eosl >l 300



Q:l mildl COPDl exacerbationl shouldl bel treatdl with
Answer:
SABAl only



Q:l moderatel COPDl exacerbationl shouldl bel treatedl with
Answer:
SABAl +l orall corticosteroids;l possiblel abx



Q:l severel COPDl exacerbationl mayl bel treatedl with
Answer:
HOSPITALIZATION



Q:l labl tol testl forl Turner'sl syndrome
Answer:
FSHl
-l ifl low:l prolactin
-l ifl high:l karyotype



Q:l shortl staturel withoutl pubertall delayl canl indicate...
Answer:
-l familiall shortl stature
-l isolatedl GHl deficiency
-l hypothyroidism

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