Nurs 5434 Final Exam – Questions With Complete
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Terms in this set (57)
Colorectal Cancer (CRC) Screening: Recommendation: Begin screening at age 45.
Methods: Colonoscopy every 10 years, flexible
sigmoidoscopy every 5 years, or annual FIT (Fecal
Immunochemical Test).
Cervical Cancer Screening: Recommendation:Ages 21-29: Pap smear every 3
years.Ages 30-65: Pap plus HPV co-testing every 5
years or Pap alone every 3 years.
Breast Cancer Screening Recommendation: Begin annual mammograms at age
40 (or 50, depending on guidelines) for women,
continuing as long as the woman is in good health.
Prostate Cancer Screening (PSA): Recommendation: Discuss potential benefits and
harms of screening with men starting at age 50, or at
45 for those at higher risk (e.g., family history).
Cardiovascular Disease (CVD) Recommendation: Regular blood pressure checks
Screening: starting at age 20, lipid profile screening every 4-6
years starting at age 20, and diabetes screening as
needed.
D Recommendations: D Recommendations: Typically include
recommendations against certain screenings or
treatments where the harms outweigh the benefits.
For example:Do not screen for cervical cancer in
women under 21, regardless of sexual history.Do not
screen for prostate cancer with PSA in men under 55
or over 69 unless there are specific risk factors.
, 2017 ACC/AHA HTN Guidelines Normal BP: <120/80 mmHg; Elevated: 120-129/<80;
Stage 1: 130-139/80-89; Stage 2: ≥140/90.
Lifestyle recommendations for HTN o Exercise: At least 150 minutes of moderate aerobic
activity per week.
o Sodium Intake: Limit to <2,300 mg/day; ideally
<1,500 mg/day for those with HTN.
o Alcohol Intake: Limit to ≤1 drink/day for women
and ≤2 drinks/day for men.
Drug Categories for HTN Thiazide Diuretics: Side effects include electrolyte
imbalances.
ACE Inhibitors: May cause cough and angioedema.
ARBs: Generally well-tolerated but may lead to
hyperkalemia.
Calcium Channel Blockers: Possible peripheral
edema.
Target BP Goals Start meds if BP ≥130/80; aim for <130/80.
Target Organ Damage (TOD): Assess through history and physical exam, looking
for signs of heart, kidney, and eye damage.
step up drug therapy If BP remains high, consider adding a second agent,
such as a thiazide or CCB, or increasing the dose.
Resistant HTN definition Defined as BP ≥130/80 despite three or more
medications. Evaluate for secondary causes and
consider referral.
ABPM (Ambulatory blood pressure Useful for diagnosing HTN and assessing variability.
monitoring)
Powerful Med Combo for HTN Common combinations include an ACE inhibitor with
a thiazide or CCB.
Solutions
Save Groups
Terms in this set (57)
Colorectal Cancer (CRC) Screening: Recommendation: Begin screening at age 45.
Methods: Colonoscopy every 10 years, flexible
sigmoidoscopy every 5 years, or annual FIT (Fecal
Immunochemical Test).
Cervical Cancer Screening: Recommendation:Ages 21-29: Pap smear every 3
years.Ages 30-65: Pap plus HPV co-testing every 5
years or Pap alone every 3 years.
Breast Cancer Screening Recommendation: Begin annual mammograms at age
40 (or 50, depending on guidelines) for women,
continuing as long as the woman is in good health.
Prostate Cancer Screening (PSA): Recommendation: Discuss potential benefits and
harms of screening with men starting at age 50, or at
45 for those at higher risk (e.g., family history).
Cardiovascular Disease (CVD) Recommendation: Regular blood pressure checks
Screening: starting at age 20, lipid profile screening every 4-6
years starting at age 20, and diabetes screening as
needed.
D Recommendations: D Recommendations: Typically include
recommendations against certain screenings or
treatments where the harms outweigh the benefits.
For example:Do not screen for cervical cancer in
women under 21, regardless of sexual history.Do not
screen for prostate cancer with PSA in men under 55
or over 69 unless there are specific risk factors.
, 2017 ACC/AHA HTN Guidelines Normal BP: <120/80 mmHg; Elevated: 120-129/<80;
Stage 1: 130-139/80-89; Stage 2: ≥140/90.
Lifestyle recommendations for HTN o Exercise: At least 150 minutes of moderate aerobic
activity per week.
o Sodium Intake: Limit to <2,300 mg/day; ideally
<1,500 mg/day for those with HTN.
o Alcohol Intake: Limit to ≤1 drink/day for women
and ≤2 drinks/day for men.
Drug Categories for HTN Thiazide Diuretics: Side effects include electrolyte
imbalances.
ACE Inhibitors: May cause cough and angioedema.
ARBs: Generally well-tolerated but may lead to
hyperkalemia.
Calcium Channel Blockers: Possible peripheral
edema.
Target BP Goals Start meds if BP ≥130/80; aim for <130/80.
Target Organ Damage (TOD): Assess through history and physical exam, looking
for signs of heart, kidney, and eye damage.
step up drug therapy If BP remains high, consider adding a second agent,
such as a thiazide or CCB, or increasing the dose.
Resistant HTN definition Defined as BP ≥130/80 despite three or more
medications. Evaluate for secondary causes and
consider referral.
ABPM (Ambulatory blood pressure Useful for diagnosing HTN and assessing variability.
monitoring)
Powerful Med Combo for HTN Common combinations include an ACE inhibitor with
a thiazide or CCB.
