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Chamberlain College of Nursing: NR511 Midterm Exam Question Bank / NR 511 Week 4 Midterm Exam Question Bank | Latest-2022 |: Differential Diagnosis and Primary Care Practicum |100% Correct Answers, Already Graded “A”| $25.49   Add to cart

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Chamberlain College of Nursing: NR511 Midterm Exam Question Bank / NR 511 Week 4 Midterm Exam Question Bank | Latest-2022 |: Differential Diagnosis and Primary Care Practicum |100% Correct Answers, Already Graded “A”|

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Chamberlain College of Nursing: NR511 Midterm Exam Question Bank / NR 511 Week 4 Midterm Exam Question Bank | Latest-2022 |: Differential Diagnosis and Primary Care Practicum |100% Correct Answers, Already Graded “A”|

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  • February 15, 2022
  • 148
  • 2021/2022
  • Exam (elaborations)
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,Which of the following medications should be used cautiously in a patient who has asthma?

(Timolol ophthalmic drops)


Timolol is a beta blocker. This class of medications can precipitate bronchoconstriction in

patients who have asthma. Even though timolol is being administered in the eye, it is absorbed

through mucous membranes and can exert systemic effects. Beta blockers should be avoided in

patients with asthma and used cautiously in patients with COPD. The other medications listed

have no specific contraindications for patients with asthma.


The most common symptom associated with acute bronchitis is: (Cough)


Fever (temp > 101°F) is an unusual symptom associated with acute bronchitis. Cough is the

most common symptom associated with acute bronchitis. Purulent sputum is identified in more

than 50% of patients with acute bronchitis. The color imparted to the sputum is usually due to

sloughing of epithelial cells, not bacterial infection. Concurrent upper respiratory symptoms are

typical of acute bronchitis. Pharyngitis is common.


Mild persistent asthma is characterized by: (symptoms occurring more than twice weekly)


Mild persistent asthma is characterized by symptoms that occur more than twice weekly but

not daily; or 3-4 nocturnal awakenings per month due to asthma. It is treated with an inhaled

steroid daily, and a bronchodilator PRN for exacerbations. If symptoms occur more than twice

weekly, therapy should be stepped up. Generally, a long-acting bronchodilator is added to the

steroid when therapy is stepped up.


The chest circumference of a 12 month-old is: (equal to head circumference)

, The chest circumference is not routinely measured at well-child visits, but is assessed if there is

concern about the circumference of either the head or the chest. An exception to this

observation can occur in premature infants where the head grows very rapidly. Normally, the

head exceeds the chest circumference by 1-2 cm from birth until 6 months. Between 6 and 24

months the head and chest circumference should be about equal and by 2 years of age the

chest should be larger than the head. The chest circumference is measured at the nipple line.


A patient with cough and fever is found to have infiltrates on chest x-ray. What is his likely

diagnosis? (Pneumonia)


The finding of infiltrates on chest x-ray, in conjunction with clinical findings of fever and cough,

should direct the examiner to consider pneumonia as the diagnosis. Other common clinical

findings with pneumonia include chest pain, dyspnea, and sputum production. Though not

common, some patients with pneumonia exhibit gastrointestinal symptoms like nausea,

vomiting, and diarrhea.


An uncommon symptom associated with acute bronchitis is: (temperature > 101°F)


Fever is an unusual symptom associated with acute bronchitis. Cough is the most common

symptom associated with acute bronchitis. Purulent sputum is identified in more than 50% of

patients with acute bronchitis. The color imparted to the sputum is usually due to sloughing of

epithelial cells, not bacterial infection. Concurrent upper respiratory symptoms are typical of

acute bronchitis. Pharyngitis is common within the first 3 days of the illness.


Patients who have cough-variant asthma: (all exhibit cough)

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