nsg6420 week 3 quiz nsg 6420 week 3 quiz latest 2021 south university |100 correct q amp a
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NSG6420 Week 3 Quiz
Question 1. Susan P., a 60-year-old woman with a 30 pack year history, presents to your primary
care practice for evaluation of a persistent, daily cough with increased sputum production, worse
in the morning, occurring over the past three months. She tells you, “I have the same thing, year
after year.” Which of the following choices would you consider strongly in your critical thinking
process?
Seasonal allergies
Acute bronchitis
Bronchial asthma
Chronic bronchitis
Question 2. A patient presents complaining of a 5 day history of upper respiratory symptoms
including nasal congestion and drainage. On the day the symptoms began he had a low-grade
fever that has now resolved. His nasal congestion persisted and he has had yellow nasal drainage
for three days associated with mild headaches. On exam he is afebrile and in no
distress. Examination of his tympanic membranes and throat are normal. Examination of his nose
is unremarkable although a slight yellowish-clear drainage is noted. There is tenderness when
you lightly percuss his maxillary sinus. What would your treatment plan for this patient be?
Observation and reassurance
Treatment with an antibiotic such as amoxicillin
Treatment with an antibiotic such as a fluoroquinoline or amoxicillin-clavulanate
Combination of a low dose inhaled corticosteroid and a long acting beta2 agonist inhaler.
, Question 3.Emphysematous changes in the lungs produce the following characteristic in COPD
patients?
Asymmetric chest expansion
Increased lateral diameter
Increased anterior-posterior diameter
Pectus excavatum
Question 4. When palpating the posterior chest, the clinician notes increased tactile fremitus over
the left lower lobe. This can be indicative of pneumonia. Areas of increased fremitus should raise
the suspicion of conditions resulting in increased solidity or consolidation in the underlying lung
tissue, such as in pneumonia, tumor, or pulmonary fibrosis. In the instance of an extensive
bronchial obstruction:
No palpable vibration is felt
Decreased fremitus is felt
Increased fremitus is felt
Vibration is referred to the non-obstructed lobe
Question 5. Your patient presents with complaint of persistent cough. After you have finished
obtaining the History of Present Illness, you realize that the patient may be having episodes of
wheezing, in addition to his cough. The most common cause of cough with wheezing is
asthma. What of the following physical exam findings will support your tentative diagnosis of
asthma?
Clear, watery nasal drainage with nasal turbinate swelling
Pharyngeal exudate and lymphadenopathy
Clubbing, cyanosis and edema.
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