Question

As a result of hypoxemia and polycythemia, persons with chronic obstructive bronchitis are prone to:

A) Breakdown of elastin

B) Left-sided heart failure

C) Pulmonary hypertension

D) Expiratory airway collapse

With acute respiratory distress syndrome (ARDS), a client progressively increases his work of breathing. The physiological principle behind this respiratory distress is related to:

A) Increases in left atrial pressure causing thickening of the lining of the pulmonary arteries

B) The elevation of pulmonary venous pressure

C) Structural abnormalities of pulmonary vessels with proliferation of the vessel intima

D) The stiffening of the lung, making it more difficult to inflate

Which of the following clients is at risk for developing acute respiratory failure?

A) A middle-aged male diagnosed with amyotrophic lateral sclerosis (ALS) who has pneumonia with low O₂ saturation

B) An elderly female living in senior housing who has been exposed to a “cold” while her grandchildren visited

C) A teenager in a high school that has had an increase in student absences due to an outbreak of strep throat

D) A toddler in daycare who has been sharing toys with peers before the staff could sanitize properly

34. The “cold viruses” are rapidly spread from person to person. The greatest source of spread is:

A) Fingers

B) Sneezing

C) Plastic toys

D) Eye mucosa

35.A distinguishing feature of viral influenza is:

A) Direct contact transmission

B) Abrupt-onset, profound malaise

C) Constant pounding headache

D) Profuse watery nasal discharge

Which of the following clients would be considered at high risk for developing pneumonia (both community and hospital setting)? Select all that apply.

A) A teenager who spends a lot of time at local coffee shops using Wi-Fi to chat with friends

B) A young adult in motorcycle accident with head injury requiring tracheostomy and mechanical ventilation

C) A college female who is pregnant (unplanned) who has been consuming alcohol prior to positive pregnancy test

D) A HIV-positive client with a WBC count of 2000 who has been camping near a commercial farm raising chickens for food

E) A school-aged child with severe asthma controlled by steroids admitted for an exacerbation

A family brings their elderly father to emergency department. He has been exposed to pneumococcal pneumonia at his retirement home. Today, they noted a change in his mental status. They thought he might need some oxygen. Which of the other assessment findings would correlate with this diagnosis? Select all that apply.

A) Expiratory wheezes throughout all lung fields

B) Increase in chest pain with deep inspiration

C) Absent breath sounds on the entire right side of the lung

D) Loss of appetite for past few days

E) Purulent sputum with bloody patches

Answer 1

31. Option C is correct as   result of hypoxemia and polycythemia, persons with chronic obstructive bronchitis are prone to pulmonary hypertension

32 Option A is correct as there is continuously increase in left atrial pressure causing thickening of the lining of the pulmonary arteries

33 Option A is correct as it is spresd by the fingers

34 option B is correct as the abrupt-onset, profound malaise are the distinguishing features of viral influenza

35 Answers are B,D,E for this statement

36 Answers are B,D,E for this statement

38