NURS 5461 Final Exam with answers |\ |\ |\ |\ |\
Cough Treatment - CORRECT ANSWERS ✔✔Treat primary cause
|\ |\ |\ |\ |\ |\ |\
Get rid of the source, the cough goes away
|\ |\ |\ |\ |\ |\ |\ |\
Soothe cough |\
Dextromethorophan
Inhaled meds- Ipratropium |\ |\
Benzonatate
Codeine-last resort |\
Hemoptysis most common causes - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\
✔✔inflammatory—bronchitis, bronchiectasis, pneumonia, TB |\ |\ |\
A cough can last how long sometimes after a URI? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔up to 8 weeks |\ |\ |\ |\
Acute bronchitis - CORRECT ANSWERS ✔✔a temporary
|\ |\ |\ |\ |\ |\ |\
inflammation of the mucous membranes that line the trachea and|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
bronchial passageways; causes a cough that may produce mucus
|\ |\ |\ |\ |\ |\ |\ |\
5th most common cause of to see a HCP
|\ |\ |\ |\ |\ |\ |\ |\
Pneumonia symptoms - CORRECT ANSWERS ✔✔-coughing |\ |\ |\ |\ |\
,-fatigue
-pleuritic pain |\
-fever
-increased WBC |\ |\
-rust colored sputum|\ |\
-crackles
-tachypnea
CURB-65 - CORRECT ANSWERS ✔✔1) Confusion|\ |\ |\ |\ |\ |\
2) BUN>19 |\
3) RR>30 |\
4) BP<90/60
|\
5) 65yo |\
One or less indicates patient can be treated outpatient, >1
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
=hospitalization
Single Pulmonary Nodule - CORRECT ANSWERS ✔✔"Coin lesion"
|\ |\ |\ |\ |\ |\ |\ |\
A single parenchymal lung lesion smaller than 3cm W/O PNA ,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
atelectasis, or lymphadenopathy |\ |\
Pure subsolid SPN < 5mm require no follow-up
|\ |\ |\ |\ |\ |\ |\
if SPN < 8mm follow Fleischner Society guidelines on intervals for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
repeat CT
|\ |\
If SPN >8mm refer specialist
|\ |\ |\ |\
, Sleep apnea - CORRECT ANSWERS ✔✔a sleep disorder
|\ |\ |\ |\ |\ |\ |\ |\
characterized by temporary cessations of breathing during sleep |\ |\ |\ |\ |\ |\ |\ |\
and repeated momentary awakenings
|\ |\ |\
Central apneas—absent airflow and respiratory efforts-
|\ |\ |\ |\ |\ |\
Neurological diseases |\
|\ Obstructive apneas [OSA]-Tongue and soft palate fall backward
|\ |\ |\ |\ |\ |\ |\
What is the definitive test for sleep apnea - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Overnight Polysomnogram |\
Age Related Pulmonary Changes - CORRECT ANSWERS ✔✔•
|\ |\ |\ |\ |\ |\ |\ |\
Reduced airway size |\ |\
•Shallow alveolar sacs |\ |\
•Decline in chest wall compliance |\ |\ |\ |\
• Intercostal muscle atrophy
|\ |\ |\
• Reduction in diaphragmatic strength by 25%
|\ |\ |\ |\ |\ |\
Who or when should you consider silent aspiration - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Consider possibility of silent aspiration, especially
|\ |\ |\ |\ |\ |\ |\
in those with frequent pneumonias, neurologic deficits, or
|\ |\ |\ |\ |\ |\ |\ |\
residence in extended-care facilities |\ |\ |\
Cough Treatment - CORRECT ANSWERS ✔✔Treat primary cause
|\ |\ |\ |\ |\ |\ |\
Get rid of the source, the cough goes away
|\ |\ |\ |\ |\ |\ |\ |\
Soothe cough |\
Dextromethorophan
Inhaled meds- Ipratropium |\ |\
Benzonatate
Codeine-last resort |\
Hemoptysis most common causes - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\
✔✔inflammatory—bronchitis, bronchiectasis, pneumonia, TB |\ |\ |\
A cough can last how long sometimes after a URI? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔up to 8 weeks |\ |\ |\ |\
Acute bronchitis - CORRECT ANSWERS ✔✔a temporary
|\ |\ |\ |\ |\ |\ |\
inflammation of the mucous membranes that line the trachea and|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
bronchial passageways; causes a cough that may produce mucus
|\ |\ |\ |\ |\ |\ |\ |\
5th most common cause of to see a HCP
|\ |\ |\ |\ |\ |\ |\ |\
Pneumonia symptoms - CORRECT ANSWERS ✔✔-coughing |\ |\ |\ |\ |\
,-fatigue
-pleuritic pain |\
-fever
-increased WBC |\ |\
-rust colored sputum|\ |\
-crackles
-tachypnea
CURB-65 - CORRECT ANSWERS ✔✔1) Confusion|\ |\ |\ |\ |\ |\
2) BUN>19 |\
3) RR>30 |\
4) BP<90/60
|\
5) 65yo |\
One or less indicates patient can be treated outpatient, >1
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
=hospitalization
Single Pulmonary Nodule - CORRECT ANSWERS ✔✔"Coin lesion"
|\ |\ |\ |\ |\ |\ |\ |\
A single parenchymal lung lesion smaller than 3cm W/O PNA ,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
atelectasis, or lymphadenopathy |\ |\
Pure subsolid SPN < 5mm require no follow-up
|\ |\ |\ |\ |\ |\ |\
if SPN < 8mm follow Fleischner Society guidelines on intervals for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
repeat CT
|\ |\
If SPN >8mm refer specialist
|\ |\ |\ |\
, Sleep apnea - CORRECT ANSWERS ✔✔a sleep disorder
|\ |\ |\ |\ |\ |\ |\ |\
characterized by temporary cessations of breathing during sleep |\ |\ |\ |\ |\ |\ |\ |\
and repeated momentary awakenings
|\ |\ |\
Central apneas—absent airflow and respiratory efforts-
|\ |\ |\ |\ |\ |\
Neurological diseases |\
|\ Obstructive apneas [OSA]-Tongue and soft palate fall backward
|\ |\ |\ |\ |\ |\ |\
What is the definitive test for sleep apnea - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Overnight Polysomnogram |\
Age Related Pulmonary Changes - CORRECT ANSWERS ✔✔•
|\ |\ |\ |\ |\ |\ |\ |\
Reduced airway size |\ |\
•Shallow alveolar sacs |\ |\
•Decline in chest wall compliance |\ |\ |\ |\
• Intercostal muscle atrophy
|\ |\ |\
• Reduction in diaphragmatic strength by 25%
|\ |\ |\ |\ |\ |\
Who or when should you consider silent aspiration - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Consider possibility of silent aspiration, especially
|\ |\ |\ |\ |\ |\ |\
in those with frequent pneumonias, neurologic deficits, or
|\ |\ |\ |\ |\ |\ |\ |\
residence in extended-care facilities |\ |\ |\
