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ANCC FNP Boards Exam Prep Test | Q&A’S |100% Correct |
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ANCC FNP Boards Exam Prep Test | Q&A’S |100% Correct |
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ANCC FNP Boards Exam Prep Test | Q&A’S|100% Correct |
When to treat subclinical hypothyroidism?
TSH > 10
Adverse effects of Levothyroxine
Accelerated bone loss & Afib
Gold standard test for asthma and COPD
Pulmonary function testing
FEV1/FVC ratio in COPD
0.7
Chronic Bronchitis
Coughing with excess mucous production for 2+ yrs; airway hypersecretion and inflammation
Emphysema
loss of elasticity of terminal bronchioles resulting in chronic hyperinflation
Blue Bloater
Hypoxemia, hypercapnia (chronic bronchitis)
Pink Puffer (emPhysema)
Tachypneic, accessory muscle use, pursed-lip breathing, and barrel chest
,CAP organisms in COPD
*S. Pneumoniae, H. Influnzae, and M. pneumoniae
CAP organism in smokers
H. Influenzae
CAP organism in cystic fibrosis
Pseudomonas aeruginosa
Tx for H. influenzae
Macrolide or Cephalosporin
Tx for Psuedomonas
Fluoroquinolone
CAP
Productive cough with a large ant of green to rust-colored sputum; band forms may be seen
Gold standard for dx CAP
CXR
Tx for CAP (No comorbidity)
Amoxicillin or Doxy
Tx for CAP (comorbidity)
, Augmentin or Fluoroquinolone
Atypical pneumonia
gradual onset of dry hacking cough; CXR local infiltrates
Tx for Atypical pneumonia
Macrolide or Levofloxacin
Acute Bronchitis
dry and severe cough that interrupts sleep
Tx for acute bronchitis
Treat symptoms!!! NO ANTIBIOTICS
Pertussis
caused by Bordetella pertussis; inspiratory whooping w/ posttussive vomiting
Tx for Pertussis (whooping cough)
Macrolides
Theophylline
Bronchodilator
Lobar consolidation
bacterial pneumonia
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