NURS 620 Adult 1 Exam 2 Latest 2020/2021 100% Verified -Maryville University, Questions with accurate answers,

Document Content and Description Below

NURS 620 Adult 1 Exam 2 Latest 2020/2021 100% Verified -Maryville University Claudication is the classic presenting symptom associated with which of the following? Correct Answerarterial insufficien... cy Risk factors for chronic arterial insufficiency? - Correct Answer- 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? Correct 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?- Correct 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? Correct Answer- moderate persistent What is the most common bacterial pathogen in CAP? Correct Answer- Streptococcus PNA Which obstructive lung disease is reversible Correct Answer- asthma George has COPD and a 40% FEV1. How would you classify the severity of his COPD Correct AnswerStage 3 Jason age 62 has Obstructive Sleep Apnea (OSA). Which of these is a contributing factor? Correct Answer- his collar size is 17 inches A patient with CAD should be placed on which of the following as antiplatelet tx (first line) Correct Answer- AspirinWhat is the desired therapeutic action of inhaled corticosteroids? Correct Answer- reduction in airway inflammation What is the appropriate tx for a pt dx with chronic venous insufficiency Correct Answer- use of elastic stockings What is the most important measurement in a pulmonary function in a patient with asthma? Correct Answer- FEV forced expiratory volume Healthy 27 yo man, dx with CAP, which one of these is the best choice of tx? Correct Answerazithromycin- macrolide Salmeterol (Serevent) is an example of which of the following? Correct Answer- long acting beta agonist(LABA) fluticasone & budesonide (pulmocort) are examples of what? Correct Answer- ICS Inhaled Corticosteroid Ipratropium (Atrovent) is an example of what? Correct Answer- Short-acting muscarinic-antagonist (SAMA) montelukast (Singulair) is an example of what? Correct Answer- NON STEROIDAL PREVENTERS Salbutamol (Ventolin) and Albuterol is an example of what? Correct Answer- Short acting beta-2 andrenergic (SABA) tiotropium (Spiriva) is an example of what? Correct Answer- (LAMA) Long-acting muscarinic-antagonist What is the most important goal of treating HTN Correct Answer- Avoiding disease targeted organ damage indicates severe asthma attack, requiring emergent treatment? Correct Answer- inaudible breath soundsWhen should a rescue course of prednisolone be issued for a asthma attack Correct Answer- anytime its needed for symptoms What intervention would indicate a patient needs more education for her asthma? Correct Answeropening a window at night what is usually the earliest sign of coronary artery disease (CAD) Correct Answer- intermittent claudication what characteristic is a risk factor for PVD? Correct 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? Correct 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 rhinitis in the nasal passages. Denies smoking, fever, wheezing. What do we expect? Correct Answer- Acute bronchitis According to JNC 8, a 40 yo with 168/88 with CKD should have treatment with? Correct AnswerLisinopril (ACE inhibitors) a new 58yo pt has a BP 152/90, first time seeing this patient, what should you do? Correct AnswerCome back for 3 more BP checks What HDL level is considered cardioprotective? Correct Answer- >60 which of the following is the drug of choice for a African American pt with HTN and DM? Correct Answer- HCTZ (diuretic)There are 4 stages of heart failure, classified as A-D- Describe the evolution and progression of the disease Correct Answer- A -Asymptomatic; B -structural change; C-Fatigue, DOE, -Pulmonary congestion on CXR, Cardiomegaly; D-nocturnal dyspnea, edema, JVD, S3, crackles, Pleural effusion Patients who have symptoms of HF at rest despite medical therapy and are hospitalized or require special interventions.. which stage would it be? Correct Answer- D Risk factors for HTN Correct Answer- age, race (AA), gender (male), obesity, FH, ETOH, sedentary, smoking, stress, diet BP goals per JNC 8 Correct Answer- ≤ 60 y/o or DM, CKD <140/90; ≥ 60 y/o <150/90 what are Cozaar (losartan), Benicar (olmesartan), Micardis (telmisartan), and Avapro (Irbesartan) examples of? Correct Answer- angiotensin receptor blockers (ARBs) What would you see on EKG with ischemia? Correct Answer- T-wave inversion Which of the following is in the heart and rapidly rises in the blood stream in heart failure? Correct Answer- BNP James is in your office for annual exam. His cholesterol screening is 198. Which action would you take? Correct Answer- initiate drug therapy with a statin Which diagnostic test would be used for dx of a venous embolism (gold standard)? Correct AnswerAscending venogram Sam age 78 presents to the clinic with respiratory symptoms. His PFT- normal, total lung capacity, decreased PaO2, increased PaCO2, on assessment crackles and forced expiratory wheezes. What is our DX? Correct Answer- Chronic Bronchitis At what LDL level would you start a person on a statin with no risk factors regardless of comorbidities? Correct Answer- >190What does this CXR Show? Correct Answer- infiltrates; pneumonia Heart Failure Classification System Correct Answer- I - Asymptomatic; II - Symptoms only with marked exertion; III - Symptoms with moderate exertion; IV - Symptoms at rest What would a diagnosis of HTN w/o further confirmation be based on? Correct Answer- Initial screening BP of ≥180/110 mmHg or who presents with hypertensive emergency What is the first lifestyle modification to address for someone diagnosed with HTN Correct AnswerWeight reduction African Americans dx with HTN without chronic kidney disease should use Correct Answer- CCBs and thiazides what 2 classes of HTN medication should not be used together? Correct Answer- ACEIs and ARBs What should be used instead of ACEIs and ARBs in patients over age 75 with impaired kidney function Correct Answer- CCBs and thiazides If goal not reached within a month of treatment for HTN what is the next step? Correct Answer- increase the initial dose of drug or add a 2nd agent & reinforce lifestyle changes What level of BUN will increase the CURB 65 score by 1? Correct Answer- greater than 19 What factors are considered to calculate CURB 65 score? Correct Answer- age ≥65, BUN >19, Systolic <90/Diastolic ≤ 60, RR >30, confusion sleep apnea education Correct Answer- weight loss and exercise; elevate head of bed; avoid alcohol What is the cause of CAD and PAD/PVD? Correct Answer- atherosclerosis (hardening of the arteries)Contributing factors of CAD Correct Answer- DM, Obesity, Stress What medication are used to manage CAD? Correct Answer- Beta blocker, aspirin, statin, nitrates Risk factors for CAD Correct Answer- Age, male, AA, FH, HTN, Hyperlipids, smoking, sed [Show More]

Last updated: 2 years ago

Preview 1 out of 11 pages