NURS 620 Adult 1 Exam 2 Maryville Questions and Answers Graded A+

Claudication is the classic presenting symptom associated with which of the following? - arterial insufficiency Risk factors for chronic arterial insufficiency? - - tobacco use You are using the CURB 65 clinical tool, for determining which patient dx with CAP should be hospitalized or treated at home. Mabel's score is 2- what should we do? - Short inpatient stay; if she is relatively healthy, she could be closely supervised outpatient S/S of COPD correlate with which of the following? - - Chronic bronchitis with airway obstruction Presents with history of asthma without treatment for a while. She reports daily but not continual symptoms that last longer than 1 week and present at night. She has been using her rescue inhaler. Her FEV1 is 60-80% predicted- how would you classify her asthma? - moderate persistent What is the most common bacterial pathogen in CAP? - Streptococcus PNA Which obstructive lung disease is reversible - asthma George has COPD and a 40% FEV1. How would you classify the severity of his COPD - Stage 3 Jason age 62 has Obstructive Sleep Apnea (OSA). Which of these is a contributing factor? - his collar size is 17 inches A patient with CAD should be placed on which of the following as antiplatelet tx (first line) - Aspirin What is the desired therapeutic action of inhaled corticosteroids? - reduction in airway inflammation What is the appropriate tx for a pt dx with chronic venous insufficiency - use of elastic stockings What is the most important measurement in a pulmonary function in a patient with asthma? - FEV forced expiratory volume Healthy 27 yo man, dx with CAP, which one of these is the best choice of tx? - azithromycin- macrolide Salmeterol (Serevent) is an example of which of the following? - long acting beta agonist(LABA) fluticasone & budesonide (Pulmicort) are examples of what? - ICS Inhaled Corticosteroid Ipratropium (Atrovent) is an example of what? - Short-acting muscarinic-antagonist (SAMA) montelukast (Singular) is an example of what? - NON STEROIDAL PREVENTERS Salbutamol (Ventolin) and Albuterol is an example of what? - Short acting beta-2 adrenergic (SABA) tiotropium (Spiriva) is an example of what? - (LAMA) Long-acting muscarinic-antagonist What is the most important goal of treating HTN - Avoiding disease targeted organ damage indicates severe asthma attack, requiring emergent treatment? - inaudible breath sounds When should a rescue course of prednisolone be issued for a asthma attack - anytime its needed for symptoms What intervention would indicate a patient needs more education for her asthma? - opening a window at night what is usually the earliest sign of coronary artery disease (CAD) - intermittent claudication what characteristic is a risk factor for PVD? - male gender An asthmatic patient comes in for a follow up, as you assess his asthma control. He uses albuterol for wheezing, cough, SOB 1 x week. He has been to the ER once for asthma symptoms and coughs 3x a month at night. He is only prescribed albuterol. What would you add? - Inhaled low dose corticosteroid A patient presents with a dry cough, causing chest discomfort x 10 days. He has a runny nose and fatigue. Nurse notes late expiratory wheeze in the lower lobes and rhinitis in the nasal passages. Denies smoking, fever, wheezing. What do we expect? - Acute bronchitis