As a consequence of a long-standing lung disease, a client is in ...

[Jipu 123]

As a consequence of a long-standing lung disease, a client is in a chronic state of hypoxia. Which of the following phenomena would the client's care team be most justified in anticipating? Select all that apply.
 
  A)
  Metabolic alkalosis
  B)
  Increased erythropoietin production
  C)
  Pulmonary vasodilation
  D)
  Hyperventilation
  E)
  Personality changes

Question 2

A 66-year-old obese man with diagnoses of ischemic heart disease has been diagnosed with heart failure that his care team has characterized as attributable to systolic dysfunction.
 
  Which of the following assessment findings is inconsistent with his diagnosis?
  A)
  His resting blood pressure is normally in the range of 150/90, and an echocardiogram indicates his ejection fraction is 30.
  B)
  His end-diastolic volume is higher than normal, and his resting heart rate is regular and 82 beats/minute.
  C)
  He is presently volume overloaded following several days of intravenous fluid replacement.
  D)
  Ventricular dilation and wall tension are significantly lower than normal.

[jordangronback]

Answer to Question 1

Ans:
B, D, E

Feedback:

Increased production of erythropoietin, hyperventilation, and cognitive and personality changes are all associated with hypoxemia. Acidosis, not alkalosis, and vasoconstriction rather than vasodilation are likely to occur.

Answer to Question 2

Ans:
D

Feedback:

Systolic dysfunction is associated with increased ventricular dilation and wall tension. Hypertension, low ejection fraction, high preload, and volume overload are all commonly associated with systolic dysfunction.