PLUM NURSING TEST PULMONARY NURSING EXAM 1 VERSION QUESTIONS AND

PLUM NURSING TEST PULMONARY NURSING EXAM 1 VERSION QUESTIONS AND

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A 13-year-old adolescent boy has a nonproductive cough and
mild shortness
of breath on a daily basis. He is awakened by the cough at least
five nights per
month. Which one of the following would be the most
appropriate treatment
for this patient?
A. A long-acting beta-agonist daily
B. A short-acting beta-agonist daily
C. Oral prednisone daily
D. An oral leukotriene inhibitor as needed
E. Inhaled corticosteroids daily
E (This patient has moderate persistent asthma. The most
effective treatment
is daily inhaled corticosteroids. A leukotriene inhibitor would be
less effective
and as a controller should be used daily. Oral prednisone daily is
problematic
due to the risk of adrenal insufficiency. Short- and long-acting -
agonists
are not recommended as daily therapy because they are
considered rescue
medications rather than asthma controllers.)
A 30-year-old woman with no past medical history presents
with a productive
cough of 2-week duration. She states she also has a runny nose,
body
aches, congestion, and fevers for the past week. In office she is
normotensive,
with a normal pulse, and temperature of 101.2°F. Her physical
examination
is significant for sinus tenderness, boggy nasal turbinates, and
crackles in the
left lower lobe lung fields.