45-year-old woman presents with chief complaint of 3-day duration of shortness of breath, cough with thick green sputum production, and fevers. Patient has history of COPD with chronic cough but states the cough has gotten much worse and is interfering with her sleep. Sputum is thicker and harder for her to expectorate. CXR reveals flattened diaphragm and increased AP diameter. Auscultation demonstrates hyper resonance and coarse rales and rhonchi throughout all lung fields. In your Case Study Analysis related to the scenario provided, explain the following: • The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms. • Any racial/ethnic variables that may impact physiological functioning. • How these processes interact to affect the patient.

45-year-old woman presents with chief complaint of 3-day duration of shortness of breath, cough with thick green sputum production, and fevers. Patient has history of COPD with chronic cough but states the cough has gotten much worse and is interfering with her sleep. Sputum is thicker and harder for her to expectorate. CXR reveals flattened diaphragm and increased AP diameter. Auscultation demonstrates hyper resonance and coarse rales and rhonchi throughout all lung fields. In your Case Study Analysis related to the scenario provided, explain the following: • The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms. • Any racial/ethnic variables that may impact physiological functioning. • How these processes interact to affect the patient.

Microbiology for Surgical Technologists (MindTap Course List)

2nd Edition

ISBN:9781111306663

Author:Margaret Rodriguez, Paul Price

Publisher:Margaret Rodriguez, Paul Price

Chapter13: Gram-positive Bacilli

Section: Chapter Questions

Problem 3UTM

See similar textbooks

Similar questions

A 50-year-old woman presents with increasing dry cough and shortness of breath that has lasted for 3 weeks. She s 2 bird fancier, and her house Is filled with parrots. An X-ray film of the chest shows diffuse lung infiltrates. Sputum cultures are negative, and the patient does not respond to antibiotic therapy. A transbronchial aspirate reveals chronic interstitial pneumania. The patient responds well to tetracycline, Which of the following is the most likely etiologic agent responsible for this patient's symptoms? (A) Chlamydia (8) Fungus (Q) Gram-positive bacterium (D) Mycobacterium (B) Rickettsia
A 60 year old male comes to the Emergency Room because of shortness of breath. He informed the nurse that over the last 2 years he experiences out breath during exertion and it is gradual, and it has been a worse for the past week, including a worsening productive cough. During interview he reveals that he coughs almost every morning as well, and this has been going on for even longer, perhaps 4-5 years. The cough is now productive of yellowish-brownish sputum. Vital Signs : BP:140/90 mmHg, HR:100, RR: 29 bpm, Temp:36.9, O2 Sat: 93% vial Nasal Cannula 4 lpm. 1. Bases of the case given, What symptom/s would indicate the client is having COPD? Give at least 3. 2. Identify 1 nursing problem based on the case given. 3. What could be a possible treatment that can help relieve the symptoms presented by the client.
Fem. 80 years old, with 10 days of hospitalization for an ischemic stroke with slow recovery, she begins with a cough and expectoration difficult to expel, as well as difficulty breathing. Physical examination of the chest: bibasal crackles and some wheezing. O2 Saturation: 90%, HR: 101, FR: 28 Answer a) Possible diagnoses b) Pathogens involved c) Corresponding studies d) Specific treatment e) Expected radiographic findings, or radiological pattern.
Patient Paquito was brought to the hospital accompanied by her wife with a chief complaint of DOB, productive cough. Vital signs: BP 140/90 mmHg , RR 22cpm, PR 90 bpm , Temp: 38.5Patient was seen and examined by Dr. Macabalug and was diagnosed with Asthma. Upon assessment, he is conscious and coherent and has mentioned that he has been experiencing easy fatigability. Upon auscultation, wheezes were noted at the lower chest and still complaining of DOB.According to the him it was his second time to be hospitalized. . He often experience colds, cough, headache and fever. And according to him he has allergies in “malalansang pagkain” such as fish, eggs, chicken, shell fish. He often takes OTC drugs to treat his illness. He was hospitalized last December 2005 due to pain in the chest area and DOB at GFND for a week. He was born in Ilagan, Isabela on the year 1941, he got married at the age of 22 at Ilagan and was blessed with 5 child and 26 grand children. He currently lives at San…
A 29-year-old previously healthy female presented with a productive cough, fever to 102 oF, and severe headache. She had cervical adenopathy (swollen glands), although she had a nonerythematous throat with no exudate. Chest examination showed crackles bilaterally at the lung base with decreased breath sounds diffusely. This finding was confirmed by chest film that showed bilateral multifocal areas of patchy consolidation. Her neck was not stiff, but because of the severity of the headache, she was admitted to the neurologic service. A spinal fluid was obtained and was negative for bacteria, cryptococcus, and acid-fast smear. Blood cultures and sputum cultures did not produce a pathogen. The patient did not improve on ceftriaxone. On day 3 she was started on erythromycin. On day 4, cold agglutinins were done and were positive. The patient gradually improved although the headache, photophobia, and cough continued for some time QUESTIONS: 1. What is the agent of this disease?…
. Two days after undergoing an abdominal hysterectomy, a 40-year-old womman has shortness of breath while walking. She appears apprehensive and has a low-grade fever, tachycardia, and tachypnea. Lungs are clear on auscultation. An x-ray of the chest shows no abnormalities. Which of the following is the most likely diagnosis?A. Aspiration pneumoniaB. AsthmaC. AtelectasisD. Nosocomial pneumoniaE. Pulmonary emboli
You are caring for a 5-year old with lethargy and a fever of 103 F. Lungs sound are clear but the child complains of a very sore throat prior to going to bed. During transport, you observe copious secretions. Which of the following do you suspect? A) Pnemonia B) Croup C) Bacterial Tracheitis D) Epiglotis
Compare and contrast the aetiology, pathogenesis and manifestations of the two types of pleural effusions and pulmonary oedema. Explain the difference in location of fluid build up and suggest ways a clinician could differentiate between the conditions to assist diagnosis. You may like to create a table to organise your thoughts to make the comparisons clear and accessible to put into words.
An 83-year-old woman is admitted to the hospital, where a critical care nurse attempts to insert a nasoenteric tube (“stomach tube”) for feeding. The patient begins to exhibit dyspnea, and a chest X-ray reveals air in the right pleural cavity and a collapsed right lung. The patient dies 5 days later from respiratory complications. Name the conditions revealed by the X-ray and explain how they could have resulted from the nurse’s procedure.
Which of the following statements is CORRECT regarding viral infections of the upper respiratory tract?A The virus causes damage to serous cells but not ciliated cellsB Children with croup develop an expiratory stridorC The virus attaches and invades the respiratory capillariesD Secondary bacterial infections are often a complication of viral infections
A 7-year-old boy comes to the clinic with a chronic cough. His mother reports he has a cough most of the day and sometimes 2 or 3 nights a month. This has happened off and on for 1 year but worse in the Spring. He also coughs when he plays sports. After numerous lab and diagnostic studies, he was diagnosed with asthma. His personal best with a peak flow meter is 200. Detailed Soap note needed with Icd code and reflection of the dx and why the treatments and the dx were made
Patient developed rhinitis and conjunctivitis while undergoing treatment for diffuse toxic goiter. Which of the following medications could have caused these side effects?A. ReserpinB. PropranololC. MercazolilumD. Lugol's solutionE. Prednisolone