NURS 620 Adult 1 Exam 2 Maryville- Questions and Answers A GRADED

NURS 620 Adult 1 Exam 2 Maryville- Questions and Answers A GRADED 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? - ANSWER Short inpatient stay; if she is relatively healthy, she could be closely supervised outpatient S/S of COPD correlate with which of the following?- - ANSWER 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? - ANSWER moderate persistent Claudication is the classic presenting symptom associated with which of the following? - ANSWER arterial insufficiency Risk factors for chronic arterial insufficiency?- - ANSWER tobacco use What is the most common bacterial pathogen in CAP? - ANSWER Streptococcus PNA Which obstructive lung disease is reversible - ANSWER asthma George has COPD and a 40% FEV1. How would you classify the severity of his COPD - ANSWER Stage 3 Jason age 62 has Obstructive Sleep Apnea (OSA). Which of these is a contributing factor? - ANSWER his collar size is 17 inches A patient with CAD should be placed on which of the following as antiplatelet tx (first line) - ANSWER Aspirin What is the desired therapeutic action of inhaled corticosteroids? - ANSWER reduction in airway inflammation What is the appropriate tx for a pt dx with chronic venous insufficiency - ANSWER use of elastic stockings What is the most important measurement in a pulmonary function in a patient with asthma? - ANSWER FEV forced expiratory volume Healthy 27 yo man, dx with CAP, which one of these is the best choice of tx? - ANSWER azithromycin- macrolide Salmeterol (Serevent) is an example of which of the following? - ANSWER long acting beta agonist(LABA) fluticasone & budesonide (pulmocort) are examples of what? - ANSWER ICS Inhaled Corticosteroid Ipratropium (Atrovent) is an example of what? - ANSWER Short-acting muscarinicantagonist (SAMA) montelukast (Singulair) is an example of what? - ANSWER NON STEROIDAL PREVENTERS Salbutamol (Ventolin) and Albuterol is an example of what? - ANSWER Short acting beta-2 andrenergic (SABA) tiotropium (Spiriva) is an example of what? - ANSWER (LAMA) Long-acting muscarinicantagonist What is the most important goal of treating HTN - ANSWER Avoiding disease targeted organ damage indicates severe asthma attack, requiring emergent treatment? - ANSWER inaudible breath sounds When should a rescue course of prednisolone be issued for a asthma attack - ANSWER anytime its needed for symptoms What intervention would indicate a patient needs more education for her asthma? - ANSWER opening a window at night what is usually the earliest sign of coronary artery disease (CAD) - ANSWER intermittent claudication what characteristic is a risk factor for PVD? - ANSWER 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? - ANSWER 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