MN 568 Exam Solution Manual Rated A+

MN 568 Exam Solution Manual Rated A+ Cough what do you want to assess? - Answers acute vs chronic assessment OLDCARTS Meds allergies medical hx social hx exposure physical exam diagnostic test treatment/plan Sam, age 78, presents to the clinic w/respiratory symptoms. His PFTs are as follows: normal total lung capacity, decreased PaO2, increased PaCO2. On assessment, you auscultate course crackles and forced expiratory wheezes. What is your dx? - Answers chronic bronchitis African American pt's seems to have a negative reaction to which of the following asthma meds? a. Inhaled corticosteroids b. Long-term beta-agonist bronchodilators c. Leukotriene receptor agonists d. Oral corticosteroids - Answers b. long term beta agonist bronchodilators Which obstructive lung dx is classified as reversible? - Answers asthma The barrel chest characteristic of emphysema is a result of: - Answers hyperinflation sandra is a long term smoker who is 60 years old. what is a benefit of quitting smoking that her provider should inform her of? a. enhanced taste and smell b. decreased risk of DM c. decreased risk of STDs - Answers a. enhanced taste and smell diagnostic testing for hemoptysis - Answers CXR CBC sputum culture for acid fast bacilli sleep apnea - Answers pause in breathing that lasts 10 secs that occurs at least 5 times in an hour risk factor for sleep apnea - Answers CAD diagnostic testing for sleep apnea - Answers overnight polysomnogram differentials for sleep apnea - Answers ABG thyroid test PFT ECG CXR infectious respiratory disorders - Answers bacterial 25% of cases most are viral, influenza, common cold, and acute laryngitis RSV in children and infants acute epiglottis diagnostics for respiratory disorders - Answers virology testing differentials for infectious respiratory disorders - Answers allergic rhinitis bacterial sinusitis strep pneumonia mono mumps CMV a __ cough is defined as one that lasts longer than 8 weeks - Answers chronic research indicates that a ___ scale is the most accurate for a patient to rate dyspnea, and it allows the patient to keep diary or record of this until their next visit - Answers vertical analog scale what are drugs that can induce a cough - Answers ACE-inhibitors beta-blockers nitrofurantoin (macrobid, macrodantin) aminoglycosides (gentamicin) arnold reflex - Answers check the ears for cerumen or hairs impinging on the tympanic membrane which may cause cough ___ are typically associated related to fluid accumulation in the lungs, and generally do not clear with cough - Answers crackles ____ which are typically due to mucus accumulation, do not clear after the patient is asked to cough and clear the airways - Answers rhonchi if TB is suspected a ___ test should be administered and results read 48 to 72 hours later - Answers mantoux purified protein derivative (PPD) tuberculin skin test (TST) a blood test may be used to detect TB is an? - Answers interferon-gamma release assay such as the quantiferon-TB gold test which only requires a single patient visit for one blood draw a ___ film should be taken if there are s/s of pneumonia, TB, poss tumor, aspiration, foreign body, or ILD - Answers chest x-ray ___ is helpful to determine the presence of obstructive or restrictive lung disease - Answers spirometry ___ scanning of the chest can detect small peripheral lung nodules, evaluate coin lesions and distinguish the chest wall form areas of pleural or parenchymal disease - Answers CT a CBC with differential is helpful in diagnosing __ infection - Answers bacterial __ should be done to identify coccidiomycosis, histoplasmosis, aspergillosis, if the hx of exposure is positive or if the pt has AIDS or immunosuppressed - Answers fungal serology what are non-narcotic agents that can be used for severe, acute coughing - Answers dextromethorphan psuedoephedrine