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NURS 620 ADULT 1 EXAM 2 STUDY QUESTIONS AND ANSWERS MARYVILLE UNIVERSITY
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NURS 620 ADULT 1 EXAM 2 STUDY QUESTIONS AND ANSWERS MARYVILLE UNIVERSITY
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NURS 620 ADULT 1 EXAM 2 STUDYQUESTIONS AND ANSWERS MARYVILLE
UNIVERSITY
What would be considered Intermittent asthma
Correct Answer -symptoms <2 D/WK, Awakening <2x/MTH, no
interference with daily life, Nml FEV1 between episodes, predicted FEV
>80%
What would be considered Mild-Persistent asthma
Correct Answer -Symptoms >2 D/Wk but not daily, Awakening 3-
4x/MTH, minor interference with daily life, FEV1 ≥ 80%
What would be considered Moderate Persistent Asthma?
Correct Answer -Symptoms daily, Awakening >1x weekly but not nightly,
some limitation in daily life, FEV1 >60%
What would be considered Severe Persistent Asthma?
Correct Answer -Symptoms throughout day, Awakening 7x/WK, use of
SABA several x/D, extreme limited daily life, FEV1 <60%
Normal FEV1/FVC
Correct Answer -8-19 = 85%; 20-39 = 80%; 40-59 = 75%; 60-80 = 70%
What are the steps in the "Stepwise Approach" to asthma?
Correct Answer -Step 1 - Intermittent: SABA PRN
Step 2 - Mild Persistent: Low ICS
,Step 3 - Moderate persit: Low ICS+LABA or Medium ICS
Step 4-6 Severe Persistent: consult specialist
What are considered 'quick relievers' of asthma?
Correct Answer -SABA (albuterol-Ventolin), SAMA (ipratropium-
Atrovent), systemic CS
What are considered 'controllers' of asthma?
Correct Answer -ICS (fluticasone-Flovent, budesonide-Pulmocort), LABA
(salmeterol-Servent), Cromolyn inhaler (Intal), Leukotrienes
(montelukast-Singulair), Methylxanthines (Theophylline) Anti-IgE
therapy (Xolair)
ICS patient education
Correct Answer -Take every day, have patient demo technique, instruct
on spacer, instruct to rinse and spit after use
When is combo therapy of LABA + ICS indicated
Correct Answer -for moderate or severe persistent asthma
Two types of ICS/LABA Combo asthma medications
Correct Answer -Fluticason/Salmeterol = Advair &
budesonide/Formoterol = Symbicort
What is the goal of asthma education
Correct Answer -encourage self-managment
, Patient education for asthma
Correct Answer -monitor and log asthma exacerbations-when-where-
triggers
personalized Asthma Plan
Medication technique
Environmental control
What is the cardinal symptom of COPD and primary symptom for
seeking medical care?
Correct Answer -Dyspnea (progressive and persistent labored breathing
and/or Air hunger)
Differential dx for COPD?
Correct Answer -Asthma, bronchietasis, CHF
Classification of COPD severity
Correct Answer -I. Mild = FEV1 ≥80%
II. Moderate = FEV1 50-80%
III. Severe = 30-50%
IV. Very severe = <30%
COPD diagnostic testing
Correct Answer -Spirometry, ABGs, CXR, WBC, Sputum culture
3 major goals of COPD Management
Correct Answer -1. Maximize functional capacity
2. Prevent and treat secondary medical complications
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