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Nurs 621 Exam 2 Questions With Answers.
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Nurs 621 Exam 2 Questions With Answers.
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Nurs 621 Exam 2 Questions WithAnswers.
Diagnosis of DVT - ANSWER- Venography
Diagnosis of PE - ANSWER- Pulmonary angiography and D-Dimer
S/S of arterial insufficiency - ANSWER- Intermittent claudication, pain at rest, pale to
dependent, dull to bright red color, takes on environmental temperature, diminished to
absent pulses, no edema, skin is shiny
S/S of venous insufficiency - ANSWER- Chronic dull ache that progresses throughout
the day, normal to cyanotic, normal skin temperature, edema present, pulses normal,
statis dermatitis, flaky, dry, scaly skin
S/S of varicosities - ANSWER- Dark purple-blue veins, "twisted", swelling,
achy/heaviness in legs, worsened pain after standing
S/S of DVT - ANSWER- Swelling, muscle tenderness, pain in calf muscle, warmth,
fever, tachycardia
Modifiable risk factors for arterial insufficiency - ANSWER- Smoking, obesity,
hypertension, cholesterol, DM, sedentary lifestyle
Nonmodifiable risk factors for arterial insufficiency - ANSWER- Age, gender, race,
genetics
S/S of emphysema - ANSWER- Pink puffers, barrel chest, pursed lip breathers, distant
quiet breath sounds, wheezes, pulmonary blebs on radiograph
S/S of chronic bronchitis - ANSWER- -generalized cyanosis
-"blue boaters"
-R side HF
-JVD
-crackles
-expiratory wheezes
S/S of asthma - ANSWER- --wheezing
--chest tightness
--SOB
--coughing fits
CURB-65 - ANSWER- Risk stratification for community acquired pneumonia
, 1) Confusion
2) BUN>19
3) RR>30
4) BP<90/60
5) 65yo
One or less indicates patient can be treated outpatient, 2= inpatient/close outpatient
monitoring; >3 =hospitalization/possible ICU
S/S of COPD - ANSWER- -Dyspnea
-SOB
-Clubbing of finger nails
-Barrel chest
-Cough
-Crackles and wheezing
-Low O2 sat
-shallow respirations
-Orthopnea
-Pale, ashen skin color
Common organisms associated with community-acquired pneumonia - ANSWER- Viral-
influenza A&B, RSV
Bacterial- Strep PNA, chlamydia PNA
Mild intermittent asthma - ANSWER- -S/S no more 2x week
-Nocturnal s/s no more 2x month
-PEFR < 20% variability
-Normal between attacks
-Exacerbation brief with variable intensity
-No daily medication needed
Mild persistent asthma - ANSWER- -S/S > 2x week, but < 1x daily
-Nocturnal s/s > 2x month
-PEFR 20% - 30% variability
-Exacerbation may or may not affect ADLs
-One medication daily (low-dose corticosteroid or -slow release theophylline)
Moderate persistent asthma - ANSWER- -S/S daily
-Nocturnal s/s > 1x week
-PEFR > 30% variability
-Exacerbations 2x daily
-Exacerbations affect ADLs
-One or two daily medications (med-dose corticosteroid &/or inhaled bronchodilator)
Severe persistent asthma - ANSWER- -S/S continuous
-Nocturnal s/s frequent
-PEFR > 30% variability
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