A child is brought to the emergency department struggling to breathe with a prolonged bronchospasm and severe hypoxemia. Assessment revealed the use of
... [Show More] accessory muscles, a weak cough, audible wheezing sound, moist skin, and tachycardia. Which of the following is the most likely diagnosis?
a) Pulmonary embolism
b) Severe asthma attack
c) Chronic obstructive pulmonary disease
d) Cystic fibrosis - ANSWER b) Severe asthma attack
A client with a history of heart failure and COPD (caused by 60 pack/year smoking) presents to the clinic with the following complaints: auscultation of breath sounds reveal absent/diminished breath sounds in the right lower lobe. Which other manifestations lead the health care provider to suspect the client may have developed atelectasis? Select all that apply.
a) "Having a hard time catching my breath."
b) Respiratory rate—32; pulse rate—122 beats/minute.
c) Using accessory muscles to help him breathe.
d) "Seems like I'm not making much water (decreased urine production)."
e) Copious amounts of thick, green sputum. - ANSWER a) "Having a hard time catching my breath."
b) Respiratory rate—32; pulse rate—122 beats/minute.
c) Using accessory muscles to help him breathe.
The nurse is caring for the following clients. Select the client at highest risk for the development of atelectasis.
a) The client who is mobile within 24 hours after abdominal surgery
b) The client who is postop total knee replacement and receiving client-controlled analgesia
c) The client with a lower leg cast who changes position every 2 hours
d) The client diagnosed with pneumonia who performs frequent coughing and deep breathing exercises - ANSWER b) The client who is postop total knee replacement and receiving client-controlled analgesia
Cystic fibrosis (CF) is an autosomal recessive disorder involving the secretion of fluids in specific exocrine glands. The genetic defect in CF inclines a person to chronic respiratory infections from a small group of organisms. Which organisms create chronic infection in a child with cystic fibrosis?
a) Staphylococcus aureus and hepatitis C
b) Pseudomonas aeruginosa and Escherichia coli
c) Haemophilus influenzae and influenza A
d) Pseudomonas aeruginosa and Staphylococcus aureus - ANSWER d) Pseudomonas aeruginosa and Staphylococcus aureus
The health care provider suspects a newly admitted client may have a hemothorax. The client most likely experienced:
a) Renal failure
b) Pneumonia
c) Congestive heart failure
d) Fractured or dislocated ribs - ANSWER d) Fractured or dislocated ribs
Unilateral chest pain associated with respiratory movements is usually described as which of the following?
a) Bronchitic
b) Myocardial
c) Pleuritic
d) Musculoskeletal - ANSWER c) Pleuritic [Show Less]