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PHRX 410 Self-Care Exam I Part 1

Terms in this set (74)

What does QuEST stand for?
1. Quickly and accurately assess the patient
2. Establish appropriateness for self-care
3. Suggest strategies
4. Talk with the patient
What does SCHOLAR stand for?
1. Symptoms
2. Characteristics
3. History
4. Onset
5. Location
6. Aggravating factors
7. Remitting factors
Where does "Qu" of the QuEST SCHOLAR process belong in the PPCP?
Collect
Where does "E" of the QuEST SCHOLAR process belong in the PPCP?
Assess
Where does "S" of the QuEST SCHOLAR process belong in the PPCP?
Plan
Where does "T" of the QuEST SCHOLAR process belong in the PPCP?
Implement
Where do the "SCHOLAR" questions of the QuEST SCHOLAR process belong in the PPCP?
Collect
What does PQRST stand for?
Palliation
Quality
Region
Signs and symptoms
Temporal factors
What temperature constitutes a fever?
100.4 F
What part of the brain regulates core temperature?
Hypothalamus
Fever is caused by __________ ________ that produce prostaglandins of the E2 series.
endogenous pyrogens
Which of the following are additional signs and symptoms of a fever?
Headache
Diaphoresis
Malaise
Halitosis
Sneezing
Chills
Cough
Irritability
Headache
Diaphoresis
Malaise
Chills
Irritability
T/F. Bradycardia is often a symptom of a fever.
False, tachycardia is often a symptom of a fever
Which of the following are CONS of an electric probe thermometer?
Cost
Must be able to hold probe under tongue and create seal
Requires batteries
Lens may become dirty
Pacifier less accurate in infants <3 months old
Must be able to hold probe under tongue and create seal
Pacifier less accurate in infants <3 months
Which of the following are CONS of an infrared thermometer?
Cost
Must be able to hold probe under tongue and create seal
Requires batteries
Lens may become dirty
Pacifier less accurate in infants <3 months old
Cost
Requires batteries
Lens may become dirty
Which type of thermometer gives the quickest reading?
Electronic probe
Infrared
Color-change
Infrared
Which of the following is the "gold standard" for those under 3 months old?
Electronic pacifier
Infrared thermometer
Electronic pen
Rectal thermometer
Rectal thermometer
Which of the following is a contraindication for a rectal thermometer?
Mouth breathers
Neutropenia
Recent rectal surgery
Pathologic process involving rectum
Hyperventilation
Uncooperative
Lethargic
Neutropenia
Recent rectal surgery
Pathologic process involving the rectum
Which of the following is a contraindication for an oral thermometer?
Mouth breathers
Neutropenia
Recent rectal surgery
Pathologic process involving rectum
Hyperventilation
Uncooperative
Lethargic
Mouth breathers
Hyperventilation
Uncooperative
Lethargic
T/F. Older patients are at a greater risk for dehydration from a fever.
True, due to decreased thirst perception and ability to perspire
Which of the following is NOT a non-pharmacologic treatment for fever?
Fluid
Lightweight clothing
Comfortable room temperature
Extra blankets to keep warm
Bathing/sponging
Putting ice cubes up your butt
Extra blankets to keep warm
Putting ice cubes up your butt
What are the two pharmacologic treatments for a fever?
Acetaminophen
Ibuprofen
Which of the following is preferred for treating a fever in pregnant women?
Ibuprofen
Acetaminophen
Acetaminophen
Which of the following is preferred for treating a fever in patients with uncontrolled HTN?
Ibuprofen
Acetaminophen
Acetaminophen
Which of the following is preferred for treating a fever in patients with renal failure?
Ibuprofen
Acetaminophen
Acetaminophen
Which of the following is preferred for treating a fever in patients with liver dysfunction?
Ibuprofen
Acetaminophen
Ibuprofen
During a fever, children should increase fluids by:
2 oz every hour
4 oz every hour
6 oz every hour
2 oz every hour
During a fever, adults should increase fluids by:
2 oz every hour
4 oz every hour
6 oz every hour
4 oz every hour
Which of the following is the correct dosing of Tylenol for children?
15-20 mg/kg
10-15 mg/kg
5-10 mg/kg
10-15 mg/kg
Which of the following is the correct dosing of Advil for children?
15-20 mg/kg
10-15 mg/kg
5-10 mg/kg
5-10 mg/kg
Which of the following is the correct dosage of Tylenol in adults?
200-400 mg
250-1000 mg
325-400 mg
325-1000 mg
325-1000mg
Which of the following is the correct dosage of Motrin in adults?
200-400 mg
250-1000mg
325-400 mg
325-100 mg
200-400mg
T/F. The American Academy of Pediatrics recommends alternating between ibuprofen and APAP because clinical trials show lower temperatures at 4 hours.
False, clinical trials do show lower temperatures at four hours but the American Academy of Pediatrics does not recommend because it can be hard to keep track of.
T/F. When given a vaccine, you should NOT treat post-vaccination symptoms such as next day fever.
False, you should treat post-vaccination symptoms.
Cold/flu season in the US occurs from late ______ through early _____.
August; April
Which of the following is the most common cause of a cold?
Coronavirus
Rhinovirus
Influenza virus
Adenovirus
Rhinovirus
A cold is transmitted by _______________.
autoinoculation
Which of the following are risk factors for a patient developing a cold?
Higher exposure rates
Allergic disorder affecting the nose or pharynx
Outdoor pollen
Indoor pet dander and dust-mites
Less diverse social networks
Weakened immune system
Higher exposure rates
Allergic disorder affecting the nose or pharynx
Less diverse social networks
Weakened immune system
T/F. In a patient with a cold, the first symptom to present is nasal symptoms followed by a sore throat.
False, sore throat followed by nasal symptoms.
T/F. 1/3 of patients with a cold will develop a cough by day 4 or 5.
True
Signs of a cold include which of the following?
Watery eyes
Sneezing
Congestion
Rhinorrhea
Red eyes
Cough
Dyspnea
Wheezing
Sore throat
Fever
Exudate
Tender lymph nodes
Chills
Headache
Malaise
Myalgia
Pharyngitis
Fatigue
Chest tightness
Sneezing
Congestion
Rhinorrhea
Cough
Sore throat
Headache
Malaise
Myalgia
Pharyngitis
A cold usually last how long?
3-5 days
2-14 days
7-14 days
7-21 days
7-14 days
Signs of the flu include which of the following?
Watery eyes
Sneezing
Congestion
Rhinorrhea
Red eyes
Cough
Dyspnea
Wheezing
Sore throat
Fever
Exudate
Tender lymph nodes
Chills
Headache
Malaise
Myalgia
Pharyngitis
Fatigue
Chest tightness
Sneezing
Congestion
Rhinorrhea
Cough
Dyspnea
Sore throat
Fever
Tender lymph nodes
Chills
Headache
Malaise
Myalgia
Pharyngitis
Fatigue
Chest tightness
Which of the following are complications of the common cold?
Sinusitis
Otitis media
Bronchitis
Flu
Pneumonia
Asthma/COPD exacerbation
COVID
Sinusitis
Otitis media
Bronchitis
Pneumonia
Asthma/COPD exacerbation
Which of the following are exclusions for self-treatment of a cold?
Fever >99.5 F
Fever >100.4 F
Chest pain
Shortness of breath
Malaise
AIDS
Allergy to OTC medications
Symptoms resolved after 7-14 days
Fever >100.4 F
Chest pain
Shortness of breath
AIDS
Allergy to OTC medications
Which of the following is NOT a non-pharmacologic treatment for a cold?
Increased fluid intake
Nasal strips
Increased exercise
Increased humidification
Increased exercise is not recommended when a patient has a cold
Which of the following decongestants is NOT available topically?
Phenylephrine
Pseudoephedrine
Oxymetazoline
Pseudoephedrine
Which of the following decongestants is a mix of direct- and indirect-acting?
Phenylephrine
Pseudoephedrine
Oxymetazoline
Pseudoephedrine
Which of the following decongestants is available as a long-acting topical?
Phenylephrine
Pseudoephedrine
Oxymetazoline
Oxymetazoline
Which of the following decongestants is available as a short-acting topical?
Phenylephrine
Pseudoephedrine
Oxymetazoline
Phenylephrine
Which of the following drug classes is most likely to interact with decongestants?
Antibiotics
NSAIDS
SSRIs/SNRIs
LABAs
SABAs
SSRIs/SNRIs
T/F. Antihistamines provide the best benefit if started at least a week after symptoms present.
False, they work the best within 1 to 2 days of symptom onset
Rhinitis medicamentosa is also known as _______ congestion.
rebound
The purchase limit of pseudoephedrine is ___g/day and _g/month per patient.
6g/day; 9g/month
3.6g/day; 18g/month
3.6g/day; 9g/month
6g/day; 18g/month
3.6g/day; 9g/month
Which of the following is appropriate CAM for a cold?
Zinc
Vitamin C
Cranberry Extract
Echinacea
St. John's Wort
Elderberry (Sambucol)
Lysine
Zinc
Vitamin C
Echinacea
Elderberry (Sambucol)
Which of the following are pros associated with intranasal medication administration?
Simple to use
No contamination risk
Cover large surface area
Relatively inexpensive
Precise dosing
Fast onset of action
Simple to use
Cover large surface area
Relatively inexpensive
Fast onset of action
Which of the following are cons associated with intranasal medication administration?
Only cover a small surface area
Expensive
Imprecise dosing
Tip can clog with repeated use
Slow onset of action
Contamination risk
Imprecise dosing
Tip can clog with repeated use
Contamination risk
Which of the following populations is more sensitive to ADRs with cold medication use?
Geriatrics
Pregnant women
Lactating women
Pediatrics
Geriatrics
T/F. You should be cautious using decongestants in patients with HTN.
True, if controlled, short course Sudafed is ok
An acute cough is classified as how long?
< 3 weeks
3-8 weeks
> 8 weeks
< 3 weeks
A subacute cough is classified as how long?
< 3 weeks
3-8 weeks
> 8 weeks
3-8 weeks
A chronic cough is classified as how long?
< 3 weeks
3-8 weeks
> 8 weeks
> 8 weeks
A productive cough is...
wet or chesty or
dry or hacking
wet or chesty
A nonproductive cough is...
wet or chesty or
dry or hacking
dry or hacking
Which type of cough is more commonly associated with a virus or atypical bacteria?
Productive
Nonproductive
Nonproductive
What is the only reason to suppress a productive cough?
Sore throat
Sleep
Work
Hoarseness
Sleep
What are some exclusions for self-treatment of a cough?
Difficulty breathing
Dyspnea
Cyanosis
Cough that does not improve after a week
Low-grade fever
Night sweats
Difficulty breathing
Dyspnea
Cyanosis
Night sweats
Which of the following are non-pharmacological treatments for a cough?
Nonmedicated lozenges
Saline spray
Humidifiers
Extra blankets
Nasal strips
Hydration
Nonmedicated lozenges
Humidifiers
Hydration
Which of the following is NOT a pharmacologic treatment for a cough?
Codeine
Dextromethorphan
Diphenhydramine
Fexofenadine
Guaifenesin
Fexofenadine
T/F. It is safe to take dextromethorphan (Delysm, Robitussing) every 2-4 hours as needed for cough.
False, depending on dose it should be taken either every 4 hours or every 6-8 hours.
Which of the following is best for an ineffective, productive cough?
Dextromethorphan
Diphenhydramine
Guaifenesin
Guaifenesin
T/F. For patients 12 years old and younger, it is safe to take guaifenesin every 4 hours.
True
4-12 years: every 4 hours as needed
12 and older: every 12 hours as needed
T/F. Honey is a safe alternative medication to treat a cough in children of all ages.
False, honey should not be given to children less than 1 year of age due to risk of botulism.
Which of the following medications is considered a "potentially inappropriate medicine" in geriatric patients with a cough?
Dextromethorphan
Diphenhydramine
Guaifenesin
Diphenhydramine
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