107 A 23-year-old woman comes to the physician because of a 3-hour history of sharp left chest wall pain when she breathes deeply or coughs. She also has an 8-dayhistory of fever, headache, nasal congestion, and productive cough. Her temperature is 38°C (100 4°F), and respirations are 18/min Physical examination showsdecreased breath sounds over the left posterior hemithorax. A chest x-ray shows left lower lobe pneumonia and a pleural effusion on the left. Sensory fibers in whichof the following nerves most likely transmit the pain sensation from the chest wall when this patient coughs?A) Cardiac plexusB) Intercostal nervesC) Long thoracic nerveD) Thoracic splanchnic nervesE) Vagus nerve

Chest pain that is sudden or stabbing, especially while inhaling deeply or coughing, is a common…

Answered: 107. A 23-year-old woman comes to the…

Basic Clinical Lab Competencies for Respiratory Care: An Integrated Approach

5th Edition

ISBN:9781285244662

Author:White

Publisher:White

Chapter18: Bronchoscopy Assisting

Section: Chapter Questions

Problem 1SEPT

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77/ A 25-year old man is admitted to the intensive care unitbecause of a severe episode of asthma that was responding to high dose nebulized bronchiodilators and corticosteriod therapy. He is currently intubated and mechanically ventilated. He is 170 cm ( 5 ft 7 inch) tall and weighs 80 kg( 176 Il); BMI is 28 kg/m2. Generalized inspiration and expiratory wheezes are heard on ausculation of the chest. Treatment with theophyline is considered possible therapy. If tha apparent distribution of theoophylline is 0.50 L/kg and the target plasma threophyline concentration to be achieved is 15 mg/L. the loading dose of intravenous theophylline that should be administered is closest to which of the following( in mg) A. 40 B 120 C 400 D. 600 E. 800 F. 1200
1. A 3-year-old girl is brought to the physician by her mother because of a 2-day history of cough and runny nose. She attends a day-care center. The mother says that the patient’s appetite and activity levels are only mildly decreased and that she sleeps through the night. Her temperature is 37.8C (100 F) pulse is 100/min, and respirations are 19/min. Physical examination shows mildly injected conjunctivae, clear nasal discharge, and mild pharyngitis. A throat culture grows viridans streptococci. A heterophile antibody titer is negative. Which of the following is most likely the diagnosis?A. Common ColdB. Infectious mononucleosis c. croup d. pertussis e. streptococcal pharyngitis 2. A 33-year-old woman comes to the physician’s office because of increasing fatigue and shortness of breath over the past 2 years. She has also noted chest pressure with exertion and recently almost fainted while walking. Examination shows increased jugular venous distention, a right ventricular heave,…
12) A 68-year old male patient has a history of long-term heavy smoking for more than 30 years, a history of chronic bronchitis for 17 years, and dyspnea with progressive aggravation in the past 3 years. Chest x-ray examination showed:The brightness of lung field increased, and the vascular texture around lung field decreased and became fine The patient's lung function test results are most likely to be() A FEV1/FVC40% B FEV1/FVC75%,RV/TLC75%,RV/TLC>40% E RV/TLC>40%,FEV1 accounted for 90% of the estimate
41. A newborn with esophageal atresia has just returned from surgery to place agastrostomy tube. Which nursing diagnosis will the nurse use to plan the care for thisclient?A. Risk for imbalanced nutritionB. Risk for deficient fluid volumeC. Risk for impaired thermoregulationD. Risk for ineffective gas exchange
54. A 2 1/2 - year old child is brought to the health facility with a history of high fever. Temperature 102.9 F (39.4 C), runny nose, cough, red and watery eyes, and small white spots inside the cheeks, all of 4 days duration. Discuss the nursing management of this child under the following topic:;? Do answer 1. Establishing of an effective relationship with patient/family
50,male, cough with hoarseness for 3 months, an enlarged lymph nodes can be touched in the right supraclavicular fossa, hard without tenderness, which is the suggestive diagnosis() A) tuberculosis B) laryngitis C) gastric cancer D) lung cancer E) nasopharyngeal cancer
1. A previously healthy 25-year-old-woman comes to the emergency department because of a 3-day history of fever, chest pain, and rapidly progressive shortness of breath. Use of an over-the-counter cold medication has not relieved her symptoms. She has no history of serious illness and takes no other medications. Her temperature is 40oC (104o F), pulse is 128/min and regular, respirations are 28/min and blood pressure is 80/54 mm Hg. Physical examination shows jugular venous distention and weak pulses in all extremities. Auscultation of the chest shows diffuse crackles bilaterally, muffled heart sounds, and a soft S2 gallop. After 30 minutes she goes into ventricular fibrillation and cannot be resuscitated. At autopsy, the heart is diffusely pale and floppy with focal petechiae, all chambers are markedly dilated.Histologic examination of cardiac tissue shows a lymphocytic infiltrate and myocardial necrosis. Which of the following infectious agents is the most likely cause these…
98. Which nursing intervention should the RN implement to maintain accurate and effective communication with a patient after a total laryngectomy?Teach the patient and family sign language.Encourage family and staff to speak in a loud voice.Provide the patient an artificial larynx immediately after surgery.Determine alternate method of communication in the preoperative period.99.Which statement made by the patient with osteosarcoma of the left tibia indicates to the RN that additional teaching is needed?“I should stay in bed except for when I need to use the bathroom.”“I can do range of motion exercises to keep my right leg muscles strong.”“I need to avoid putting weight on my left leg when moving around.”“I will drink more water instead of milk.”
Case Study: -An 18-year-old man with no significant past medical history presented to the emergencydepartment with a history of cough and shortness of breath with exertion, along withsubjective fevers, chills, and rigors. He was noted to be hypoxic (low oxygen saturation level)on examination. The chest X-ray showed bilateral infiltrates in a diffuse butterfly patterninvolving both central lung fields. The patient reported a history of IV drug use, with frequentsharing of needles.Diagnosis: PCP PneumoniaCase study presentation should include the following:1. Case2. Patient initials (Ex. 50-year-old man)3. History of the present illness (Symptoms and may include the physical exam of the patient)4. Chief Complaints (Ex. Morning stiffness in his joints for over a year)5. Diagnosis and Causative agent6. Pathophysiology7. Treatment and Management8. References
4:24 al a @ ord-4.pearsonvue.com d © Time Remaining 00:14:25 113 of 125 B Calculator The nurse has taught a client with active pulmonary tuberculosis (TB). Which of the following statements by the client would indicate a correct understanding of the teaching? Select all that apply. 図1 回2 3. 4. 05. 6. "I should expectorate secretions into a disposable tissue and dispose of the tissue in a plastic bag. "will keep my dishes and eating utensils separate from those of other family members. "I should have a TB skin test again in 6 months." "I will receive prescribed medication for at least 6 months." "I should take the TB medication as long as the symptoms occur." "I will limit my daily activities until I am no longer feeling so tired.
Tony is a 56-year-old, Hispanic male that presented to the Emergency Room with complaints of shortness of breath, which he has been experiencing for the past two days. He states “I haven’t felt good for about a week, but couldn’t afford to miss work.” He complains of a cough, fever, and feeling exhausted. Past medical history includes asthma, chronic obstructive pulmonary disease and diabetes. Upon physical examination, you notice that Tony is struggling to breathe, his respiratory rate is 36 breaths per minute and labored, heart rate 115 beats per minute, blood pressure 90/40 mm Hg, and his pulse oximetry is 84% on room air. You notify the MD. He orders oxygen at 2 L via NC and an arterial blood gas. Tony’s ABG results: pH 7.28 PaCO2 – 55 mm Hg PaO2 – 70 mm Hg HCO3 – 30 mEq/L 1)Determine Tony’s acid-base imbalance and Describe possible causes of the imbalance
A 60-year-old male with a known history of chronic obstructive pulmonary disease (COPD) presents to the ED with increased shortness of breath, productive cough, and wheezing. His vital signs are: BP 150/90 mmHg, HR 110 bpm, RR 26 breaths/min, SpO2 88% on room air. What is the first-line nursing management? The first-line nursing management for a COPD exacerbation is to administer ________.

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