Which of the following clinical findings would be most closely ...

[dollx]

Which of the following clinical findings would be most closely associated with a client who has interstitial lung disease in comparison to chronic obstructive pulmonary disease (COPD)?
 
  A)
  Audible wheezing on expiration
  B)
  Reduced expiratory flow rates
  C)
  Decreased tidal volume
  D)
  Normal forced expiratory volume

Question 2

All of the following interventions are ordered stat. for a patient stung by a bee who is experiencing severe respiratory distress and faintness. Which priority intervention will the nurse administer first?
 
  A)
  Epinephrine (Adrenalin)
  B)
  Normal saline infusion
  C)
  Dexamethasone (Decadron)
  D)
  Diphenhydramine (Benadryl)

[verrinzo]

Answer to Question 1

Ans:
C

Feedback:

Because it takes less work to move air through the airways at an increased rate than it does to stretch a stiff lung to accommodate a larger tidal volume, interstitial lung disease is commonly associated with an increased respiratory rate but decreased tidal volume. Wheezing and decreased expiratory flow rate are more closely associated with COPD.

Answer to Question 2

Ans:
A

Feedback:

Treatment includes immediate discontinuation of the inciting agent; close monitoring of CV and respiratory function; and maintenance of respiratory gas exchange, cardiac output, and tissue perfusion. Epinephrine is given in an anaphylactic reaction because it constricts blood vessels and relaxes the smooth muscle in the bronchioles.