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Exam (elaborations)

PN 140 Final Exam Questions and Answers 2024/2025

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Propylthiouracil (PTU)  Hyperthyroidism CNS: drowsiness, headache, paresthesia, vertigo CV: edema, vasculitis GI: HEPATOTOXICITY, nausea, vomiting, diarrhea, loss of taste What is emphysema?  destruction of alveolar wall and of the pulmonary capillary bed leading to decreased ability ...

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  • October 11, 2024
  • 112
  • 2024/2025
  • Exam (elaborations)
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  • PN 140
  • PN 140
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PN 140 Final Exam Questions and
Answers 2024/2025
Propylthiouracil (PTU)

 Hyperthyroidism
CNS: drowsiness, headache, paresthesia, vertigo

CV: edema, vasculitis

GI: HEPATOTOXICITY, nausea, vomiting, diarrhea, loss of taste




What is emphysema?

 destruction of alveolar wall and of the pulmonary capillary bed leading to decreased
ability to oxygenate blood


What is bronchitis?

 - inflammation of the bronchi
- thick excessive bronchial secretions




Can you cure COPD?


 Not curable, but is preventable. Also, can be managed once diagnosed.


What is a hallmark sign of someone with emphysema?

 dyspnea


What is a hallmark sign of someone with bronchitis?

 productive cough


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What type of COPD is more common?

 bronchitis


What type of COPD has a higher incidence of death?

 emphysema


When administering a bronchodilator and a steroid, which one do you give first?


 always administer bronchodilator, then administer steroid


What should one do after taking a steroid inhaler?

 rinse mouth after steroid inhaler, including the combo ones


What is our biggest concern with beta 2 stimulants? What should we do about it?

 They constrict in the circulatory system. So monitor BP and pulse once given.


What is anemia?

 short supply of circulating RBCs leading to impairment in transportation of oxygen


What interventions would be included in the POC in someone with anemia?


 - Iron rich foods
- Stool softeners

- Iron supplements

- O2 administration

- HOB >30

- Frequent checks

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What are some signs and symptoms of anemia?


 - Weakness
- Fatigue

- Pallor

- Exertional dyspnea

- Dizziness

- Lethargy




What is atherosclerosis?


 fatty build up (cholesterol)


What is arteriosclerosis?

 hardening of the arteries


Why would someone with peripheral aneurysms have pain?

 due to ischemia r/t decreased O2, nerves, blockage


Why would someone with peripheral aneurysms have syncope?


 - lack of blood flow to the brain causes LOC
- extra blood flow to parts of the body and not enough going back will cause an imbalance




Why would someone with peripheral aneurysms have dyspnea?



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 increased RR with pain, lack of O2, increase in pressure


Why would someone with peripheral aneurysms have edema?


 pooling of blood, venous return/arterial flow is all altered and area will become
edematous


What causes peripheral aneurysms?

 unmanaged hypertension


Why can arterial blockage cause a thrombus?

 when you slow the blood flow enough, a clot can develop spontaneously


What is claudication?


 cramping or pain in leg muscles brought on by walking or exercise
"if you're legs are talking while you're walking, you better listen"




Why does claudication occur?


 metabolic demand of O2 has increased and pain is caused by release of lactic acid


When is claudication a concern?

 when the pain doesn't go away once exercise has stopped


What is ischemia?

 a temporary deficiency of blood flow to an organ or tissue


Why is time important when treating ischemia?

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