NSG 555 Quiz 1 Module 2 Latest Update -

NSG 555 Quiz 1 Module 2 Latest Update - Questions and 100% Verified Correct Answers Guaranteed A+

-floxacin - CORRECT ANSWER: fluroquinolones

-mycins - CORRECT ANSWER: macrolides

2 kinds of dry eyes - CORRECT ANSWER: aqueous-deficient--lacrimal gland

insufficiency. Sjogrens or other disease

evaoprative deficient--meibomian gland dysfunction, poor eyelid closure, inadequate blinking, ocular rosacea

acute bronchitis def/epidemiology - CORRECT ANSWER: acute, self limited

inflammation of trachea and major bronchi

cough of 1-3 weeks WITHOUT bronchial consolidation (simila rot pna or underlying c/p disease

usually viral (influenza a and b, RSV, paravirus) and part of spectrum of URI (includes acute otitis, pharyngitis, tonsillitis, acute sinusitis) but by definition bronchitis is inflam of lower resp tract

Bacterial cause more common in pts with chronic health problems, same diseases as

those that cause CAP: bordatella p, m. pna, etc

acute bronchitis pathophys - CORRECT ANSWER: cause is rarely identified. cough due to increased edema in tracheobronchial tree, epithelial cell dammage, proinflamm mediators and inc in secretions

adverse effects of asthma meds - CORRECT ANSWER: needs to be assessed every

time b2 adrenergic and theophylline-->tachycardia and tremors Inhaled corticosteroids-->thrush and dysphonia oral corticosteroids-->central adiposity, HTN, ecchymosis, cataracts, kyphosis, muscle weakness, AMS

Any adventitious lung sounds should prompt - CORRECT ANSWER: CXR

asthm a meds - CORRECT ANSWER: SABA

inhaled steroids -one's--fluticasone, pulmicort

• / 3

SABA+steroid (symbicort--not FDA approved), advair, breao, dulero

Asthma definition/epidemiology - CORRECT ANSWER: chronic inflammatory disorder-- inc. responsivenes of tracheobronchial tree to various stimuli-->episodic reversible narroving and inflammation of the airways

asthma is classified based on - CORRECT ANSWER: symptoms, med use and lung

function tests

Asthma management - CORRECT ANSWER: PEF (peak exp. flow)--measured at

baseline.If 50-79 % predicted or personal best need quick relief med if <50% send to ER

Initial treatment: inhaled SABA 2 treatments 20 minutes apart of 2-6 puffs MDI or nebulizer

if good response (>80% PEF personal best or predicted) may continue SABA q3-4 hours prn. consider short course steroids

If incomplete response (wheezing/dyspnea continues) or PEF 50-79% predicted or personal best + systemic steroid, continue inhaled SABA, contact clinician for further instruction

best test for GERD - CORRECT ANSWER: 24 horu esophageal pH monitoring

Beta-lactams - CORRECT ANSWER: Penicillins

Cephalosporins Carbapenems Monobactams

ex. amoxicillin, amox+clavulanate cefpodoxime cefuroxime

BNP tests for what? - CORRECT ANSWER: heart failure

bronchiectasis - CORRECT ANSWER: chronic dilation of a bronchus secondary to

infection. results in huge amounts of mucopurulent sputum. best dx is high resolution CT scan which will show intrapulmonary thickening of airway wall, distortion of peripheral airways, mucous plugging

bronchiectasis - CORRECT ANSWER: large volumes of purulent sputum, CXR shows

bronchial wall thickening, bronchial dilation

cataracts - CORRECT ANSWER: opacification of the lense of the eye. leading cause of blindness. Every person who lives long will develop a degree of cataract. 2 / 3

prevents light from focusing on retina so loss of vision

causes: age, corticosteroids, diabetes, smoking, UV light and radiation

Chest pain - CORRECT ANSWER: common causes: musculoskeletal conditions affecting and chest wall GI nonspecific stable angine psychogenic respiratory nonischemic cardiac condition acute cardia ischemia (only 1.5%)

ASK PQRST

Choice of antibiotics in PNA - CORRECT ANSWER: #1 macrolide

#2 doxycycline #3 If comorbidities (CVD, lung disease, liver, renal, dm, etoh, etc) use respiratory fluoroquinolone OR Beta lactam abx

if CA MRSA use vanc+linezolide

If influenza use oseltamivir or zanamivir early

chronic cough definition - CORRECT ANSWER: acute weeks

subacute 3-8 weeks chronic >8 weeks

most are acute and self-limited, 90% have a viral cause. can be post-infectious following a viral infection like m. pna or b. pertussis. still would last no longer than 8 weeks.

clinical presentation pleural effision - CORRECT ANSWER: dyspnea, nonprod. cough, pleuritic chest pain, activity intolerance, dyspnea worse when recumbent, cough worse as effusion increases

PE: dullness to percussion, decreased/absent breath sounds over effusion, JVD, s3 gallop (CHF), lymphadenopathy or hepatosplenomegaly if hepatic disease/cause or ascites

clinical presentation sarcoidosis - CORRECT ANSWER: can affect any organ system

but 90% have pulmonary involvement.

dyspnea, cough, wheezing, chest pain, hoarseness, stridor, polyps

• / 3