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Exam (elaborations)

CCC Exam 1 questions with accurate answers

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CCC Exam 1 questions with accurate answers

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CCC Exam 1 questions with accurate answers
Abnormal breath sounds? Ans✓✓✓ -Wheezes
Whistling, high-pitched
Air forced through narrow airway
Asthma
-Crackles
Air passing through moisture in smaller airways
Fine crackles-high-pitched; atelectasis, fibrosis, pneumonia, early CHF
Coarse crackles-louder and low-pitch; bronchitis, pulmonary edema,
resolving pneumonia
-Pleural Friction Rub
Grating or scratching sound
Irritated visceral and parietal pleura rub together
-Stridor
"Croaking" sound
Partial obstruction of the upper air passages related to inflammation or
foreign body
Croup or upper airway obstruction
Requires prompt assessment and intervention
-Coarse/Sonorous Wheezes
Low-pitched, rattling sound
Caused by secretions in larger air passages
Formerly known as "rhonchi"

,Acute glomerulonephritis? Ans✓✓✓ -Primarily children and young
adults-males more common
-2-3 weeks after group A beta-hemolytic streptococcal infection (strep
throat, impetigo)Can also be a response to bacterial, viral, or parasitic
infections elsewhere in body
-Immunologic problem caused by an antigen-antibody reaction
Antigen-antibody complexes are deposited in the glomerular basement
membrane, causing cell damage and altered permeability; leads to
scarred renal tissue and impaired function
-Suddenly ill; fever, chills, flank pain, widespread edema, puffiness
around the eye, visual disturbances, and marked hypertension
-Diagnostic tests include UA, creatinine, BUN, CBC; urine may be
smoky and contain RBCs and protein with increased specific gravity;
severe conditions will show anemia
-Sodium-restricted diet; fluid restriction; low-protein, high carbohydrate
diet; plasmapheresis
-Patient history of past illnesses, physical assessment, baseline VS and
weight, frequent mental status checks, cardiac and pulmonary
assessments, absolute bed rest, follow diet restriction


Alveoli? Ans✓✓✓ tiny air sacs of lung tissue specialized for the
movement of gases between air and blood


Avoiding flu? Ans✓✓✓ Immunizations, Wash hands, Exercise, sleep,
healthy diet.

, Bladder scan? Ans✓✓✓ -Noninvasive method to measure postvoid
residual volume or urinary retention Portable handheld scanner uses
ultrasound to create an image and calculate bladder volume. Can be
done at the bedside. Clean the probe. Palpate for the symphysis pubis
and apply gel about 1 inch above. Ensure that the probe makes good
contact with the gel-covered skin. Point the probe toward the coccyx.
Press the scan button for the bladder volume readout.


BUN ranges? Ans✓✓✓ 7-20 mg/dL
depending on sex and gender


Care of an AV fistula? Ans✓✓✓ -Keep your vascular access clean at all
times.
-Look for signs of infection, such as:
Pain
Redness
Swelling
Fever
-Avoid putting pressure on your access area by:
Not sleeping or resting on your access area
Not carrying bags or heavy objects across your access area
Not wearing tight clothes or jewelry around your access area
-For routine blood tests, ask for your blood to be taken from your other
arm (whichever arm does not have your vascular access in it)

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