NURS 620 ADULT 1 EXAM 2 STUDY QUESTIONS AND ANSWERS MARYVILLE UNIVERSITY

NURS 620 ADULT 1 EXAM 2 STUDY QUESTIONS AND ANSWERS MARYVILLE UNIVERSITY
Heart Failure Classification System
I - Asymptomatic; II - Symptoms only with marked exertion; III - Symptoms with
moderate exertion; IV - Symptoms at rest
What would a diagnosis of HTN w/o further confirmation be based on?
Initial screening BP of ≥180/110 mmHg or who presents with hypertensive emergency
What is the first lifestyle modification to address for someone diagnosed with HTN
Weight reduction
African Americans dx with HTN without chronic kidney disease should use
CCBs and thiazides
What 2 classes of HTN medication should not be used together?
ACEIs and ARBs
What should be used instead of ACEIs and ARBs in patients over age 75 with impaired
kidney function
CCBs and thiazides
If goal not reached within a month of treatment for HTN what is the next step?
increase the initial dose of drug or add a 2nd agent & reinforce lifestyle changes
What level of BUN will increase the CURB 65 score by 1?
greater than 19
What factors are considered to calculate CURB 65 score?
age ≥65, BUN >19, Systolic <90/Diastolic ≤ 60, RR >30, confusion
Sleep apnea education
weight loss and exercise; elevate head of bed; avoid alcohol
What is the cause of CAD and PAD/PVD?
atherosclerosis (hardening of the arteries)
Contributing factors of CAD
DM, Obesity, Stress
What medication are used to manage CAD?
Beta blocker, aspirin, statin, nitrates
Risk factors for CAD
Age, male, AA, FH, HTN, Hyperlipids, smoking, sedentary, Women: menopause uses
estrogen/Bcp & smoking
When should cholesterol screening begin for high risk?
25 for women, 35 for men, every 3 yrs
Risk factors for hyperlipids?
diabetic, HTN, smoking, FH
When should cholesterol screening begin for low risk?
males 35, females 45, every 5 yrs
Desirable lipid levels?
Total <200; Trigly <150; LDL <100; HDL F >45 M >40 cardioprotective >60
What tests and labs are use to dx PVD?
Ankle-Brachial Index (ABI) & lipid panel
Treatment of PVD/PAD consists of what?
drugs to lower lipids, control HTN, antiplatelet agent
Risk factors for DVT
genetic clotting issues, immobility, smoking, obesity, age, FH, hormone/BCPs
Symptoms of DVT
unilateral LE swelling, pain in calf, leg cramps, erythema, pallor
What is a common technique to elicit pain associated with DVT
Homan's sign (dorsiflexion of foot)
Common treatment for DVT
anticoagulants, compression stockings, "clot busters"-Tpa
Treatment goals for DVT
Resolve clot, prevent PE, prevent post phlebitis syndrome or reoccurrence
Cardinal Symptoms of asthma?
Cough, wheeze, SOB
Differential dx for asthma
COPD, GERD, Esinophilic bronchitis
What is the main trigger to asthma?
exposure to agent pt is sensitized to.
What is Baylor's Rules of Two with asthma?
More than 2 uses of rescue inhaler/wk, more than 2 night awakenings/month, more than
2 rescue canisters/ year
Most common finding with mild to moderate persistent asthma?
expiratory wheezing
What physical finding may be seen with severe-persistent asthma?
hyperinflation of the chest with an increase in the AP diameter
What would be considered Intermittent asthma
symptoms <2 D/WK, Awakening <2x/MTH, no interference with daily life, Nml FEV1
between episodes, predicted FEV >80%
What would be considered Mild-Persistent Asthma?
Symptoms >2 D/Wk but not daily, Awakening 3-4x/MTH, minor interference with daily
life, FEV1 ≥ 80%
What would be considered Moderate Persistent Asthma?
Symptoms daily, Awakening >1x weekly but not nightly, some limitation in daily life,
FEV1 >60%
What would be considered Severe Persistent Asthma?
Symptoms throughout day, Awakening 7x/WK, use of SABA several x/D, extreme
limited daily life, FEV1 <60%

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