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CERTIFIED AMBULATORY CARE NURSE EXAM WITH QUESTIONS AND ACCURATE SOLUTIONS
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CERTIFIED AMBULATORY CARE NURSE EXAM WITH QUESTIONS AND ACCURATE SOLUTIONS
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CERTIFIED AMBULATORY CARE NURSEEXAM WITH QUESTIONS AND ACCURATE
SOLUTIONS
Addison's disease Correct Answer Aka adrenal insufficiency.
Occurs when the body produces insufficient amounts of cortisol
and aldosterone produced by your adrenal glands.
Addison's disease treatment Correct Answer Oral corticosteroids:
prednisone, dexamethasone, hydrocortisone (cortef),
methylprednisolone or cortisone acetate. Corticosteroids
injections. Androgen replacement therapy: treat androgen
deficiency in women, dehydroepiandrosterone (DHEA) can be
prescribed
Diabetes Correct Answer A disease marked by abnormal levels
of sugar in the blood, caused by the body's inability to produce or
use insulin properly. If untreated can cause problems with
circulation, vision, renal fxn and nerve damage.
Consequence of hyperglycemia Correct Answer DKA
(emergency) or diabetic hyperosmolar syndrome (hyperglycemia
without ketones)
Diabetes diagnosis Correct Answer -Fasting plasma glucose of
>126 on two separate occasions or
-HgbA1c 6.5% or higher or 2 hour PG >200 during an oral
glucose tolerance test or
-sx of diabetes plus a tendon plasma glucose >200
right sided heart failure Correct Answer Right side not pumping to
lungs (often triggered by L sided failure); leg edema, SOB, abd
bloating, excessive fatigue
,Left sided heart failure Correct Answer L ventricle loses ability to
contract- blood backs up into lungs = moist, wet; increased
secretions; pillows to rest (orthopnea), SOB, pulmonary edema
Ejection fraction Correct Answer Measures amount of blood in
left ventricle after systole - determines how well heart is pumping
Normal - 55 to 70
Less than 40 - heart failure
More than 75 - hypertrophic cardiomyopathy
Stroke symptoms: FAST Correct Answer Face drooping
Arm weakness
Speech difficulty
Time to get help - call 911
Stroke symptoms - BEFAST Correct Answer Includes:
Balance
Eye sight (vision changes)
How quickly to administer tPA Correct Answer Within 3 hours -
gold standard
Risk factor for heart disease, diabetes, stroke, etc Correct Answer
Metabolic syndrome - at least 3 risk factors for diagnosis
Metabolic syndrome Correct Answer Excessive stomach fat
High triglycerides
Low HDL
High BP
High Fasting blood sugar
HTN Goal Correct Answer <130/85
FBS goal Correct Answer <100
, HDL goal Correct Answer >50 women
>60 men
LDL Correct Answer <100
Triglycerides Correct Answer <150
waist circumference Correct Answer <35 women
<40 men
Emphysema Correct Answer Abnormal enlargement of air
spaces
Chronic bronchitis Correct Answer Airways that carry air in and
out of lung are partly blocked by increased secretions; SX:
constant and/or productive cough, smokers cough, excess
sputum, sob, wheezing
Asthma Correct Answer Inflamed and narrows airways
RAD Correct Answer Airways react, swell, and cause chest
tightness, SOB, and difficulty breathing; triggers: exercise pollen,
cold, foods, or odors/smells
Spiro Correct Answer Measures how much air is inhaled,
exhaled, and how quickly it is exhaled
Pursed lip breathing Correct Answer Pucker/purse lips (think of
whistling) which conserves energy, calming, and helps control
SOB. Use when changing position of when breathing is labored
Nephrotic syndrome Correct Answer Increased protein excretion
in urine caused by damaged glomeruli. This leads to inability to
filter waste and remove excess fluid
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