NURS 620 Adult 1 Exam 2 Latest 2020/2021 100% Verified -Maryville University
Claudication is the classic presenting symptom associated with which of the following?
arterial insufficiency
Risk factors for chronic arterial insufficiency?-
tobacco use
You are using the CURB 65 clinical tool, ...
Claudication is the classic presenting symptom associated with which of the
following?
arterial insufficiency
Risk factors for chronic arterial insufficiency?-
tobacco use
You are using the CURB 65 clinical tool, for determining which patient dx with
CAP should be hospitalized or treated at home. Mabel's score is 2- what should
we do?
Short inpatient stay; if she is relatively healthy, she could be closely supervised
outpatient
S/S of COPD correlate with which of the following?-
Chronic bronchitis with airway obstruction
Presents with history of asthma without treatment for a while. She reports daily
but not continual symptoms that last longer than 1 week and present at night.
She has been using her rescue inhaler. Her FEV1 is 60-80% predicted- how would
you classify her asthma?
moderate persistent
What is the most common bacterial pathogen in CAP?
Streptococcus PNA
Which obstructive lung disease is reversible
asthma
George has COPD and a 40% FEV1. How would you classify the severity of his
COPD
Stage 3
Jason age 62 has Obstructive Sleep Apnea (OSA). Which of these is a
contributing factor?
his collar size is 17 inches
A patient with CAD should be placed on which of the following as antiplatelet tx
(first line)
Aspirin
What is the desired therapeutic action of inhaled corticosteroids?
reduction in airway inflammation
What is the appropriate tx for a pt dx with chronic venous insufficiency
use of elastic stockings
What is the most important measurement in a pulmonary function in a patient
with asthma?
FEV forced expiratory volume
Healthy 27 yo man, dx with CAP, which one of these is the best choice of tx?
azithromycin- macrolide
Salmeterol (Serevent) is an example of which of the following?
, long acting beta agonist(LABA)
fluticasone & budesonide (pulmocort) are examples of what?
ICS Inhaled Corticosteroid
Ipratropium (Atrovent) is an example of what?
Short-acting muscarinic-antagonist (SAMA)
montelukast (Singulair) is an example of what?
NON STEROIDAL PREVENTERS
Salbutamol (Ventolin) and Albuterol is an example of what?
Short acting beta-2 andrenergic (SABA)
tiotropium (Spiriva) is an example of what?
(LAMA) Long-acting muscarinic-antagonist
What is the most important goal of treating HTN
Avoiding disease targeted organ damage
indicates severe asthma attack, requiring emergent treatment?
inaudible breath sounds
When should a rescue course of prednisolone be issued for a asthma attack
anytime its needed for symptoms
What intervention would indicate a patient needs more education for her asthma?
opening a window at night
what is usually the earliest sign of coronary artery disease (CAD)
intermittent claudication
what characteristic is a risk factor for PVD?
male gender
An asthmatic patient comes in for a follow up, as you assess his asthma control.
He uses albuterol for wheezing, cough, SOB 1 x week. He has been to the ER
once for asthma symptoms and coughs 3x a month at night. He is only
prescribed albuterol. What would you add?
Inhaled low dose corticosteroid
A patient presents with a dry cough, causing chest discomfort x 10 days. He has
a runny nose and fatigue. Nurse notes late expiratory wheeze in the lower lobes
and rhinitis in the nasal passages. Denies smoking, fever, wheezing. What do we
expect?
Acute bronchitis
According to JNC 8, a 40 yo with 168/88 with CKD should have treatment with?
Lisinopril (ACE inhibitors)
a new 58yo pt has a BP 152/90, first time seeing this patient, what should you do?
Come back for 3 more BP checks
What HDL level is considered cardioprotective?
>60
which of the following is the drug of choice for a African American pt with HTN
and DM?
HCTZ (diuretic)
There are 4 stages of heart failure, classified as A-D- Describe the evolution and
progression of the disease
A -Asymptomatic; B -structural change; C-Fatigue, DOE, -Pulmonary congestion on
CXR, Cardiomegaly; D-nocturnal dyspnea, edema, JVD, S3, crackles, Pleural effusion
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