In the early morning, an African American woman brings her ...

[appyboo]

In the early morning, an African American woman brings her 5-year-old son to the emergency room. The boy is wheezing, is short of breath, and has a dry cough. The mother states that he has always been very healthy.
 
  He went to bed with only a slight cold and a runny nose but woke her with his coughing shortly after 4 AM. His symptoms worsened so dramatically that she brought him to the hospital. The care team would most likely suspect that he has
  A)
  respiratory syncytial virus.
  B)
  influenza.
  C)
  asthma.
  D)
  pneumonia.

Question 2

A client who presented with shortness of breath and difficulty climbing stairs has been diagnosed with pulmonary fibrosis, a disease characterized by scarring of the alveoli.
 
  Upon assessment of the lungs, what clinical manifestations should the nurse expect?
  A)
  Rapid, deep breaths
  B)
  Wheezing throughout lung fields
  C)
  Short, shallow breaths
  D)
  Pursed-lip breaths with slow, steady breaths

[sarahccccc]

Answer to Question 1

Ans:
C

Feedback:

Although the child may have an infectious disease, his symptoms and the timing of them (both in terms of his age and the time of symptom onset) are classic for asthma. They are not as closely associated with RSV, influenza, or pneumonia.

Answer to Question 2

Ans:
C

Feedback:

Scarring diminishes the elasticity of the lung tissue, resulting in noncompliant lungs that are more difficult to inflate. In order to maintain a sufficient tidal volume and oxygen level with the lungs that require extra work to expand, the individual must take shallower, more rapid breaths. The effort and time required for him to breathe deeply would detract from his ability to bring in enough air.

[appyboo]

Excellent

[AISCAMPING]

TYSM