ANCC FNP Board Exam Study Guide Part 1: FNP Study Guide: Guaranteed A+ Guide

Treatment for chronic bronchitis (Ans- -Chronic bronchitis is a type of COPD that is characterized by inflammation of the bronchi, causing excess mucus; characteristics of chronic bronchitis include diagnosis after age 35, obesity, copious amounts of purulent sputum, elevated Hct level -Treat with SABA (albuterol), inhaled anticholinergics (ipratropium) -Normal Findings of Lungs: Lower lobes vesicular breath sounds (soft and low) Upper lobes; Bronchial breath sounds louder Actinic keratosis (Ans- -Older to elderly fair-skinned adults -numerous dry, round, pink to red-colored, slow-growing lesions that do not heal -lesions common on sun-exposed areas (cheeks, nose, face, arms, back) -precancerous precursor of squamous cell carcinoma -frequent sunburns as child places person at higher risk -diagnosed with biopsy -treat with cryotherapy (small number) or 5-FU(5% fluorouracil) cream (large number) follow up with derm. Seborrheic keratosis (Ans- -soft, round, wart-like fleshy growths on trunk (mostly on back) -can range in color from light tan to black -appear to be pasted on -asymptomatic -benign Fingernail hematoma treatment (Ans- -Trephination - make hole in nail through drilling or piercing and allow blood to drain Hypothyroid (Ans- -Primary - elevated TSH; low T4; low or normal T3 -Subclinical - elevated TSH; normal T4; normal T3 -Common cause is Hashimoto's (autoimmune) - Hashimoto and Hypo both have O -Symptoms are variable - may include fatigue -Treatment - levothyroxine (Synthroid) daily in AM on empty stomach -Starting dose of levothyroxine (Synthroid) is 25-50mcg -Check TSH every 6-8 weeks to monitor treatment Hyperthyroid (Ans- -Primary - low TSH; high T4; normal or high T3 -Subclinical - low TSH; normal T4; normal T3 -Most common cause is Grave's Disease (autoimmune) - Grave and Hyper both have R -Common symptoms - female; rapid weight loss; increased heart rate; tremors; sweating; irritability; anxiety; hyperactivity; insomnia; diarrhea; amenorrhea; hypertension; exophthalmos; heat intolerance; goiter -Treatment - Propylthiouracil (PTU); Methimazole (Tapazole); Radioactive iodine (causes hypothyroid for life, contraindicated in pregnancy) -Thyroid Storm (thyrotoxicosis) - acute worsening of symptoms; may be caused by stress or infection; look for LOC, fever, abdominal pain; life-threatening; immediate hospitalization needed