•
NRNP 6566 week 6 knowledge check.
A 54 year old female has a 30 year pack smoking history. She recently underwent pulmonary function testing which showed moderate obstructive lung disease. What would your treatment plan (including medications) include for this patient?
Correct
...
• nrnp 6566 week 6 knowledge check a 54 year old female has a 30 year pack smoking history she recently underwent pulmonary function testing which showed moderate obstructive lung disease wha
Written for
NRNP 6566
All documents for this subject (645)
Seller
Follow
LectDan
Reviews received
Content preview
NRNP 6566 week 6 knowledge check.
• Question 1
A 54 year old female has a 30 year pack smoking history. She recently underwent
pulmonary function testing which showed moderate obstructive lung disease. What
would your treatment plan (including medications) include for this patient?
Correct
Answer: The Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2020
suggests that smoking cessation should be immediately pursued if the patient
is still smoking. Nicotine replacement (gum, inhaler, nasal spray, patch,
lozenge, or sublingual tablet) are reliable methods to assist in long term
smoking cessation. Varenicline, bupropion, and nortriptyline also increase long
term quit rates but should be one part of an intervention program and not the
sole intervention. Professional counseling and support have a positive impact
on smoking cessation.
Bronchodilators are the baseline medication for COPD patients. Patients can
be initiated on short acting beta agonists (SABA) or long term beta agonists
(LABA) based on their symptoms. Short acting medications come in various
forms including inhaler, nebulizer, pills, or liquid syrup. Long acting
bronchodilators are delivered via inhaler or nebulizer. Combinations of SABA
and LABA s are common in treatment plans for COPD patients. LABA have a
duration of action of 12 hours while SABA last for about 4-6 hours. SABA can
provide immediate symptom relief.
• Question 2
A 23-year-old male with Type 1 diabetes presents to the ER complaining of fatigue and
malaise. He tells you he has skipped his insulin injections the previous two days. His labs
are:
PH 7.10 Na 140 BUN 35
PCO2 10 K 4.1 Crt 1.1
PO2 112 Cl 105 BS 845
HCO3 4 CO2 5 + ketonemia
What is this patient's acid base status? What is your working diagnosis for this patient?
Correct
Answer: Metabolic acidosis with respiratory alkalosis
pH is low Normal HCO3 is 22-26 so 4 is low causing acidosis
Leading diagnosis – Diabetic Ketoacidosis
This study source was downloaded by 100000851646087 from CourseHero.com on 12-13-2022 08:42:44 GMT -06:00
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LectDan. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.49. You're not tied to anything after your purchase.
