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NUR 2502 EXAM 1/NUR2502 EXAM 1 LATEST EXAM ALL 50 QUESTIONS AND CORRECT ANSWERS/MDC3 EXAM 1 /MULTIDIMENSIONAL CARE 3 EXAM 1 |ALREADY GRADED A+|RASMUSSEN COLLEGE

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NUR 2502 EXAM 1/NUR2502 EXAM 1 LATEST EXAM ALL 50 QUESTIONS AND CORRECT ANSWERS/MDC3 EXAM 1 /MULTIDIMENSIONAL CARE 3 EXAM 1 |ALREADY GRADED A+|RASMUSSEN COLLEGE

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NUR 2502 EXAM 1/NUR2502 EXAM 1 LATEST EXAM ALL QUESTIONS AND CORRECT
ANSWERS/MDC3 EXAM 1 /MULTIDIMENSIONAL CARE 3 EXAM 1 |ALREADY GRADED
A+|RASMUSSEN COLLEGE










Asthma -(answer)Chronic respiratory disease characterized by periods of coughing, wheezing,
respiratory distress, and bronchospasms. Can have persistent cough without wheezing.



Physiology of Asthma -(answer)Result of immunohistopathologic responses that produce shedding of
airway epithelium & collagen deposition beneath the basement membrane, edema, mast cell activation
& inflammatory infiltration by eosinophils, lymphocytes, & neutrophils. Persistent inflammation can
result in irreversible changes (airway remodeling d/t persistent fibrotic changes of airway lining-
decreasing diameter).

Inflammation causes acute bronchoconstriction, airway edema, mucus plug formation, & trigger a
hyperresponsiveness (severity can change over time) to a variety of stimuli (allergens, exercise, cold air,
physical/chemical/pharmacologic agents). Strongest predisposing risk factor- atopy: genetic
predisposition for the development of an IgE mediated response to common aeroallergens.
Exacerbations involve progressive worsening of SOB, cough, wheezing, chest tightness.



Asthma Triggers -(answer)viral/bacterial infection, seasonal patterns (change in barometric pressure,
temp, cold air), exercise, pollution, smoking, pregnancy, & psychological stress (crying, laughter, anxiety
attack/panic disorder), AR or sinusitis, food additives (sulfites), endocrine factors (obesity), drugs
(Tylenol, aspirin, beta-blockers), GERD



Allergen induced asthma -(answer)often evidence of sensitization to house dust mites, cockroaches,
indoor molds, saliva/dander of cats/dogs, outdoor seasonal molds, airborne pollens (trees, grasses,
weeds), food allergy (eggs/tree nuts).



Early asthmatic response (EAR) -(answer)characterized by activation of mast cells/mediators w/
bronchoconstriction being a key feature. Starts w/in 15-30 min of mast cell activation & resolves w/in
about 1 hr if removed from offending allergen.

,NUR 2502 EXAM 1/NUR2502 EXAM 1 LATEST EXAM ALL QUESTIONS AND CORRECT
ANSWERS/MDC3 EXAM 1 /MULTIDIMENSIONAL CARE 3 EXAM 1 |ALREADY GRADED
A+|RASMUSSEN COLLEGE










Late phase asthmatic response -(answer)prolonged inflammatory state that follows EAR w/in 4-12hrs-
associated w/ airway hyperresponsiveness more severe than the EAR presentation & can last several
hours to weeks



Exercise-induced bronchospam -(answer)describes the phenomenon of airway narrowing during or
minutes after the onset of vigorous activity. Prevalence highest 5-17 yrs & black children.



12 months and older -(answer)Age minimum for asthma to be diagnosed due to high rate of viral
illnesses that cause bronchiolitis



Intermittent Asthma -(answer)Symptoms: Two times or less per week. Asymptomatic and normal PEF
between exacerbations. Requires SABA 2 days/week (example albuterol). Exacerbations brief few hrs to
days varying in intensity. No interference with normal activity.

Night time symptoms: two times or less per week

Lung function: FEV >80%, Normal FEV between exacerbations



Mild Persistent Asthma -(answer)Symptoms: More than two times per week but less than one time per
day. Requires SABA more than two days/week but not more than one time per day. Exacerbations may
affect activity.

Night time symptoms: Three to four times per month.

Lung function: FEV >60%



Moderate Persistent Asthma -(answer)Symptoms: Daily symptoms, Daily use of inhaled SABA, Some
limitations, Exacerbations affect activity. Two time or more per week may last days

Night time symptoms: More than one time per week but not nightly

Lung function: FEV >60% but <80% predicted

, NUR 2502 EXAM 1/NUR2502 EXAM 1 LATEST EXAM ALL QUESTIONS AND CORRECT
ANSWERS/MDC3 EXAM 1 /MULTIDIMENSIONAL CARE 3 EXAM 1 |ALREADY GRADED
A+|RASMUSSEN COLLEGE










Severe Persistent Asthma -(answer)Symptoms: Continual symptoms, Requires SABA several times per
day, Extremely limited physical activity, Frequent exacerbations

Night time symptoms: Often seven times per week

Lung function: FEV <60% predicted



Mild Assessment of Asthma & Severity -(answer)•Wheezing at the end of expiration or no wheezing

•None or minimal intercostal retractions along posterior axillary line

•Slight prolongation of exp phase

•Normal aeration in lung fields

•Can talk in full sentences



Severe Classification of Asthma Exacerbation -(answer)•Breathless while are rest

•Infant stops feeding

•Sits upright

•Talks in words

•Usually agitated

•Resp rate greater then 30

•Usually has suprasternal retractions

•Wheezes usually loud with inhalation and exhalation

•Pulse >120

•Functional assessment <40% predicted or personal best or response last <2 hours

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