NURS 620 EXAM 2 (Cardiovascular and
Respiratory) QUIZBANK WITH VERIFIED
AND COMPLETE SOLUTIONS A+
GRADED MARYVILLE UNIVERSITY
An adult patient with a history of chronic obstructive lung disease (COPD)
presents to your office with 1 day of worsening shortness of breath,
wheezing, and non-productive cough. You determine he has a COPD
exacerbation. What is your treatment plan?
a. Chest x-ray
b. Z-pak, 7-10 days prednisone spurt, Atrovent inhaler 2 puffs QID
c. 7-10 days prednisone spurt, Albuterol/Atrovent inhaler 2 puffs QID
d. Levaquin 500mg QD for 7 days, prednisone spurt, Albuterol/Atrovent
inhaler 2 puffs QID
Verified Answer -c. 7-10 days prednisone spurt, Albuterol/Atrovent inhaler
2 puffs QID (621 quiz)
All of the following are useful in treating patients with COPD except:
a. Short-acting beta2-agonists
b. Oral steroids
c. Antihistamines
d. Anticholinergics
Verified Answer -c. Antihistamines (621 quiz)
Which of the following is less likely to be found in a patient with
emphysema dominant COPD?
a. A cough that is productive with large amounts of purulent sputum
,b. Prolonged expiration
c. Weight loss
d. Exertional dyspnea
Verified Answer -a. A cough that is productive with large amounts of
purulent sputum (621 quiz)
You are treating a patient in your office whom you suspect has chronic
lung disease, but you are unsure if you should start treatment today. What
do you consider ordering first?
a. A pulmonary function test
b. An office spirometry
c. A pulmonary consult
d. A chest x-ray
Verified Answer -b. An office spirometry (621 quiz)
You are treating an elderly patient who tells you he has a history of
allergies. His concern today is he is coughing more at night for the past 6
weeks and wheezing intermittently. He has no history of heart failure,
smoking, or other lung disease. Your physical examination is
unremarkable. What are your differential diagnosis(es) for cough?
Select all that apply.
Asthma
GERD
Postnasal drip
Sinusitis
Verified Answer -Asthma
GERD
Postnasal drip
,Sinusitis (621 quiz)
what followup test should occur if the Mantoux PPD test is positive?
Verified Answer -chest x-ray (332)
what are the 3 principle triggers for exacerbation of asthma?
Verified Answer -1. allergens and environmental factors
2. infections - common URI, viral infections
3. psychologic factors - stress at work/home or crisis
(pg 339)
allergic rhinitis and eczema often accompany a dx of
Verified Answer -asthma (pg 341)
what is the one key feature in making the diagnosis of asthma?
Verified Answer -its reversibility (pg 341)
Asthma - Mild intermittent classification =
Verified Answer -1.intermittent sxs < than 1 time a week; brief
exacerbation lasting a few hrs to a few days
2.nighttime asthma sxs < than 2x a month
3.asymptomatic and normal PEF between exacerbations
4.PEFR or FEV1:>80% predicted; PFT variability >20%
(pg 342)
Asthma - Mild persistent classification =
Verified Answer -1. Sxs more than 2x per week, but less than 1x per day,
may be several times at night/month
, 2. exacerbations may affect activity and sleep
3. nighttime asthma sxs more than twice a month
4. PEFR or FEV1:>80% predicted; PFT variability 20-30%
(pg 342)
Asthma -Moderate persistent classification =
Verified Answer -1. Sxs daily but not continual, >1 week, nighttimes
2. exacerbations affect activity and sleep
3. daily use of inhaled short-acting beta-2 agonist
4. PEFR or FEV1: 60-80% predicted; PFT >30%
(pg 342)
Leukotriene Receptor Antagonists such as:
Montelukas (singulair)
Zafirlukas (accolate)
Cromolyn sodium (intal)
Nedocromil sodium (tilade)
are
Verified Answer -NOT FOR ACUTE ASTHMA ATTACKS (pg 345)
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