NSG6420QUIZ3
NSG6420 QUIZ 3
Question :
1
Susan P., a 60-year-old woman with a 30 pack year history,
presents to
.
your primary care practice for evaluation of a persistent, daily
cough
with increased sputum production, worse in the morning,
occurring over the past three months. She tells you, “I have
the same thing, year after year.” Which of the following
choices would you consider strongly in your critical thinking
process?
Student
Answer: Seasonal allergies
Acute bronchitis
Bronchial
asthma Chronic
bronchitis
Instructor The pulmonary component includes an abnormal inflammatory response
Explanatio to noxious stimuli, principally tobacco, but also occupational and
n: environmental pollutants. The hallmark of chronic bronchitis is a daily
chronic cough with increased sputum production lasting for at least 3
consecutive months in at least 2 consecutive years, usually worse on
awakening; this may or may not be
associated with COPD (GOLD, 2011). Emphysema is characterized by
obstruction to airflow caused by abnormal airspace enlargement distal
to terminal bronchioles.
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced
Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014-01-14.
VitalBook file. (page 206)
&
Goolsby, Mary J., Laurie Grubbs. Advanced Assessment Interpreting Findings
and Formulating Differential Diagnoses, 3rd Edition. F.A. Davis Company,
11/2014. VitalBook file. (page 213)
Points 2 of 2
Received:
Comments:
Questio Question :
n 2. A patient presents complaining of a 5 day history of upper
respiratory symptoms including nasal congestion and
drainage. On the day the symptoms began he had a low-
grade fever that has now resolved. His nasal congestion
persisted and he has had yellow nasal drainage for three days
,NSG6420QUIZ3
associ treatment plan for this patient be?
ated
with
mild
heada
ches.
On
exam
he is
afebril
e and
in no
distres
s.
Exami
nation
of his
tympa
nic
memb
ranes
and
throat
are
norma
l.
Exami
nation
of his
nose is
unrem
arkabl
e
althou
gh a
slight
yellowi
sh-
clear
draina
ge is
noted.
There
is
tender
ness
when
you
lightly
percus
s his
maxill
ary
sinus.
What
would
your
, NSG6420QUIZ3
Student
Answer: Observation and reassurance
Treatment with an antibiotic such as amoxicillin
Treatment with an antibiotic such as a
fluoroquinoline or
amoxicillin-clavulanate
Combination of a low dose inhaled corticosteroid
Instructor and a long acting beta2 agonist inhaler.
Explanatio MedU Card #4. According to the American Academy of
n: Ortolaryngology—Head and Neck Surgery Foundation guidelines (2007)
on sinusitis, making the distinction between a lingering viral upper
respiratory infection that affects the nose and sinuses (viral
rhinosinusitis) or early acute bacterial sinusitis can be difficult. It is
more likely to be a viral rhinosinusitis if the duration of symptoms is
less than ten days and they are not worsening. In this case, you can
continue to observe the patient and reassure him that antibiotics are
not necessary at this time.
Points Received: Comments:
2 of 2
Questio Question :
Emphysematous changes in the lungs produce the
n 3.
following characteristic in COPD patients?
Student
Answer: Asymmetric chest expansion
Increased lateral diameter
Increased anterior-posterior
diameter Pectus excavatum
Instructor In COPD, patients commonly develop a barrel-shaped chest due to
Explanatio emphysematous changes in the lungs. A barrel shape is due to an
n: increased anterior-posterior (AP) diameter. In emphysema, there is a
1:1 ratio of AP to lateral diameter; AP diameter equals the lateral
diameter. Normally the AP diameter is twice the lateral diameter.
Goolsby, Mary J., Laurie Grubbs. Advanced Assessment Interpreting Findings
and Formulating Differential Diagnoses, 3rd Edition. F.A. Davis Company,
11/2014.
VitalBook file( page 213-
214) &
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced
Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014-01-
14. VitalBook file. (page 206)
NSG6420 QUIZ 3
Question :
1
Susan P., a 60-year-old woman with a 30 pack year history,
presents to
.
your primary care practice for evaluation of a persistent, daily
cough
with increased sputum production, worse in the morning,
occurring over the past three months. She tells you, “I have
the same thing, year after year.” Which of the following
choices would you consider strongly in your critical thinking
process?
Student
Answer: Seasonal allergies
Acute bronchitis
Bronchial
asthma Chronic
bronchitis
Instructor The pulmonary component includes an abnormal inflammatory response
Explanatio to noxious stimuli, principally tobacco, but also occupational and
n: environmental pollutants. The hallmark of chronic bronchitis is a daily
chronic cough with increased sputum production lasting for at least 3
consecutive months in at least 2 consecutive years, usually worse on
awakening; this may or may not be
associated with COPD (GOLD, 2011). Emphysema is characterized by
obstruction to airflow caused by abnormal airspace enlargement distal
to terminal bronchioles.
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced
Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014-01-14.
VitalBook file. (page 206)
&
Goolsby, Mary J., Laurie Grubbs. Advanced Assessment Interpreting Findings
and Formulating Differential Diagnoses, 3rd Edition. F.A. Davis Company,
11/2014. VitalBook file. (page 213)
Points 2 of 2
Received:
Comments:
Questio Question :
n 2. A patient presents complaining of a 5 day history of upper
respiratory symptoms including nasal congestion and
drainage. On the day the symptoms began he had a low-
grade fever that has now resolved. His nasal congestion
persisted and he has had yellow nasal drainage for three days
,NSG6420QUIZ3
associ treatment plan for this patient be?
ated
with
mild
heada
ches.
On
exam
he is
afebril
e and
in no
distres
s.
Exami
nation
of his
tympa
nic
memb
ranes
and
throat
are
norma
l.
Exami
nation
of his
nose is
unrem
arkabl
e
althou
gh a
slight
yellowi
sh-
clear
draina
ge is
noted.
There
is
tender
ness
when
you
lightly
percus
s his
maxill
ary
sinus.
What
would
your
, NSG6420QUIZ3
Student
Answer: Observation and reassurance
Treatment with an antibiotic such as amoxicillin
Treatment with an antibiotic such as a
fluoroquinoline or
amoxicillin-clavulanate
Combination of a low dose inhaled corticosteroid
Instructor and a long acting beta2 agonist inhaler.
Explanatio MedU Card #4. According to the American Academy of
n: Ortolaryngology—Head and Neck Surgery Foundation guidelines (2007)
on sinusitis, making the distinction between a lingering viral upper
respiratory infection that affects the nose and sinuses (viral
rhinosinusitis) or early acute bacterial sinusitis can be difficult. It is
more likely to be a viral rhinosinusitis if the duration of symptoms is
less than ten days and they are not worsening. In this case, you can
continue to observe the patient and reassure him that antibiotics are
not necessary at this time.
Points Received: Comments:
2 of 2
Questio Question :
Emphysematous changes in the lungs produce the
n 3.
following characteristic in COPD patients?
Student
Answer: Asymmetric chest expansion
Increased lateral diameter
Increased anterior-posterior
diameter Pectus excavatum
Instructor In COPD, patients commonly develop a barrel-shaped chest due to
Explanatio emphysematous changes in the lungs. A barrel shape is due to an
n: increased anterior-posterior (AP) diameter. In emphysema, there is a
1:1 ratio of AP to lateral diameter; AP diameter equals the lateral
diameter. Normally the AP diameter is twice the lateral diameter.
Goolsby, Mary J., Laurie Grubbs. Advanced Assessment Interpreting Findings
and Formulating Differential Diagnoses, 3rd Edition. F.A. Davis Company,
11/2014.
VitalBook file( page 213-
214) &
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced
Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014-01-
14. VitalBook file. (page 206)
