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Advanced Nursing 6001 Questions with Solutions

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Advanced Nursing 6001

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NUR 6001
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NUR 6001

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Advanced Nursing 6001

Patients with COPD when they first start coughing the cough is referred to as: - answer
Smoker’s cough

When a person starts Chantix, they need to set a goal such as... - answer1 week to quit
smoking

If they are using nicotine gum, they need to chew the gum until... - answerit becomes
soft and then place in the buccal mucosa.

A chronic cough is a cough that lasts longer than - answer8 weeks

Behavioral steps of smoking cessation: - answer Precontemplation; Preparation; Action;
Maintenance

The major muscle of inspiration is the – answer diaphragm

An average cigarette contains - answer15-20mg nicotine

Cigarette smoking can increase the risk of a... - answerpneumothorax

Key characteristics of asthma are - answerchronic airway inflammation and bronchial
hyperresponsiveness with intermittent, reversible airway obstruction.

Asthma attacks are characterized by two phases- - answerthe early response and the
late response.

Asthma - The early response is primarily related to - answerbronchospasm and
bronchoconstriction It peaks within 30 minutes and resolves within 3 hours.

Asthma - A late response can occur.... - answera few hours after the early response.
This phase is related to airway edema and mucus production.

Two medications to take for asthma - answerA long-acting beta agonist and an inhaled
corticosteroid should be taken with asthma.

A patient on theophylline needs to have levels checked and they need to remain
between - answer5-15MCG/ml.

Examples of LABA for asthma - answerSalmeterol xinafoate (also sold as Serevent
Formoterol fumarate (also sold as Foradil)
AlbuterolSulfate

, Combination LABA and Inhaled Corticosteriods - answerFluticasone propionate and
salmeterol xinafoate (Sold as Advair Diskus)* * Approved for children 4 and over. Advair
contains two active components. In addition to the long-acting beta-agonists, salmeterol
xinafoate, it also contains an inhaled corticosteroid, fluticasone propionate

If patient does not wish to quit smoking should you continue to ask them at every visit
about their plan to quit? - answerYes

Because of the narrow therapeutic window of theophylline and its many side effects,
physicians should monitor the following in the patient: - answerThe heart rate of the
patient
CNS effects (headache, insomnia, irritability)
The respiratory rate
Patient's arterial or capillary blood gases
The patient's electrolyte concentrations, fluid balance, and acid-base balance require
monitoring during prolonged IV therapy.

Serum theophylline concentrations should be checked after what type of changes? -
answerafter the initiation of therapy, before increasing dose, and if any signs or
symptoms of toxicity appear. Worsening of the current illness, an occurrence of a new
illness, or any change in the patient's treatment protocol that may alter theophylline
clearance should also prompt the physician to check serum concentrations of
theophylline.

For patients taking oral theophylline treatment, monitor serum concentrations at what
intervals (baring any other changes0 - answer6-month intervals for rapidly developing
children and at annual intervals for all other patients (if their symptoms are well
controlled).

The most common cause of bacterial pharyngitis - answerGroup A strep and should be
treated with PCN.

Asthma Classification Mild Intermittent - answerSymptoms </= 2 days per week,
nighttime awakenings </= 2 times per month, an inhaler is required </= 2 days per
week, and the FEV1 is >80% of predicted. PEF < 20%
- SABA PRN

Types of PCNto treat bacterial pharyngitis - answeramoxicillin (brand names Alphamox,
Amoxil, Cilamox, Ibiamox, Fisamox) - Preferred

Potential alternatives for mild reactions to penicillin - answerCephalosporins -
Cephalexin* (first generation)
Cefadroxil* (first generation)

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Course
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