NURS620 TEST QUESTIONS AND
CORRECT DETAILED ANSWERS
What are education points for OAD
quit smoking, low cholesterol/low fat/low salt, walking 30 in/day, HTN/DM control, foot care
Describe / define chronic obstructive bronchitis
partially reversible airflow limitation & presence of cough
Describe / define emphysema
abnormal permanent enlargement of the air space distal to the terminal bronchioles
What are clinical features of COPD
chronic cough, dyspnea, current/previous tobacco use, chronic sputum production, hx
of exposure to dust/chemicals
What are objective presentations of COPD pt
barrel chest, prolonged expiratory phase, expiratory wheezing
What are late objective findings of a pt w COPD
neck vein distenstion, LE edema, clubbing of fingernails, mental status changes
What test MUST be ordered to have results to dx COPD
spirometry
What are typical s/s of a "very severe" COPD pt
lung hyperinflation, cyanosis, peripheral edema, polycythemia, hypoxemia & hypercapnia
What are typical s/s of a "severe" COPD pt
dyspnea with ANY exertion or at rest, prominent wheezing and cough
What are the 3 major goals for COPD mgmt
, maximize functional capacity, prevent/tx secondary medical complications, improve quality of
life
What is the goal of O2 therapy for SpO2 for a COPD pt
SpO2 90% or better
What are s/s of tobacco w/d
anxiety. irritability, anger, impatient, restlessness, diff concentrating, sleep disturbances,
increased appetite, depressed mood
What is 1st line therapy for smoking cessation
Bupropion SR
What is incubation period for covid
2-24 days
What is a s/s indicative for pleuritic CP
sudden intense CP that worsens with deep breathing / coughing
What pathogen is responsible for influenza
orthomyxovirus
What is tx for for flu...pharmaceuticals & home remedies
Oseltamivir (Tamiflu), Zanamivir (Relenza), Peramivir (Rapavab)....rest, fluids, antipyretics,
decongestants x3days
Would the pt have hyper resonance or dullness to percussion with pneumonia
dullness
what is tx for CAP for a pt wo risk factors of MRSA/pseudomonas
mono therapy with amoxicillin / doxy / macrolide (erythromycin, clarithromucin, azithromycin)
CORRECT DETAILED ANSWERS
What are education points for OAD
quit smoking, low cholesterol/low fat/low salt, walking 30 in/day, HTN/DM control, foot care
Describe / define chronic obstructive bronchitis
partially reversible airflow limitation & presence of cough
Describe / define emphysema
abnormal permanent enlargement of the air space distal to the terminal bronchioles
What are clinical features of COPD
chronic cough, dyspnea, current/previous tobacco use, chronic sputum production, hx
of exposure to dust/chemicals
What are objective presentations of COPD pt
barrel chest, prolonged expiratory phase, expiratory wheezing
What are late objective findings of a pt w COPD
neck vein distenstion, LE edema, clubbing of fingernails, mental status changes
What test MUST be ordered to have results to dx COPD
spirometry
What are typical s/s of a "very severe" COPD pt
lung hyperinflation, cyanosis, peripheral edema, polycythemia, hypoxemia & hypercapnia
What are typical s/s of a "severe" COPD pt
dyspnea with ANY exertion or at rest, prominent wheezing and cough
What are the 3 major goals for COPD mgmt
, maximize functional capacity, prevent/tx secondary medical complications, improve quality of
life
What is the goal of O2 therapy for SpO2 for a COPD pt
SpO2 90% or better
What are s/s of tobacco w/d
anxiety. irritability, anger, impatient, restlessness, diff concentrating, sleep disturbances,
increased appetite, depressed mood
What is 1st line therapy for smoking cessation
Bupropion SR
What is incubation period for covid
2-24 days
What is a s/s indicative for pleuritic CP
sudden intense CP that worsens with deep breathing / coughing
What pathogen is responsible for influenza
orthomyxovirus
What is tx for for flu...pharmaceuticals & home remedies
Oseltamivir (Tamiflu), Zanamivir (Relenza), Peramivir (Rapavab)....rest, fluids, antipyretics,
decongestants x3days
Would the pt have hyper resonance or dullness to percussion with pneumonia
dullness
what is tx for CAP for a pt wo risk factors of MRSA/pseudomonas
mono therapy with amoxicillin / doxy / macrolide (erythromycin, clarithromucin, azithromycin)
