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NURS 5461 Final Exam with precise detailed answers

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NURS 5461 Final Exam with precise detailed answers

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NURS 5461 Final Exam with precise detailed answers || || || || || || ||




Cough Treatment - ✔✔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 - ✔✔inflammatory—bronchitis, bronchiectasis,
|| || || || || || ||




pneumonia, TB ||




A cough can last how long sometimes after a URI? - ✔✔up to 8 weeks
|| || || || || || || || || || || || || ||




Acute bronchitis - ✔✔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 - ✔✔-coughing || || ||




-fatigue

-pleuritic pain ||




-fever

-increased WBC || ||




-rust colored sputum
|| ||




-crackles

, 2


-tachypnea



CURB-65 - ✔✔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 - ✔✔"Coin lesion"
|| || || || || ||




A single parenchymal lung lesion smaller than 3cm W/O PNA , atelectasis, or
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lymphadenopathy

Pure subsolid SPN < 5mm require no follow-up
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if SPN < 8mm follow Fleischner Society guidelines on intervals for repeat CT
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If SPN >8mm refer specialist
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Sleep apnea - ✔✔a sleep disorder characterized by temporary cessations of breathing during
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sleep and repeated momentary awakenings
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|| 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 - ✔✔Overnight Polysomnogram
|| || || || || || || || || ||




Age Related Pulmonary Changes - ✔✔• Reduced airway size
|| || || || || || || ||




•Shallow alveolar sacs || ||

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