Author Question: A patient is diagnosed with subacute hypersensitivity pneumonitis. What should the nurse expect to ... (Read 21 times)

Sufayan.ah · **on:** Jun 25, 2018

A patient is diagnosed with subacute hypersensitivity pneumonitis. What should the nurse expect to assess in this patient?

Select all that apply.

1. weight loss
2. chronic cough
3. chills and fever
4. loss of appetite
5. shortness of breath

Question 2

The nurse assists in the extubation of a patient recovering from injuries caused by a motor vehicle crash. Which observations indicate that the patient is able to independently maintain an airway?

Select all that apply.

1. The patient is coughing.
2. The patient has a hoarse voice.
3. The patient has inspiratory stridor.
4. The patient's oxygen saturation 75.
5. The patient swallows small sips of water.

Madisongo23 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1, 2, 4, 5
The subacute syndrome of hypersensitivity pneumonitis is characterized by an insidious onset of chronic cough, progressive dyspnea, anorexia, and weight loss. Chills and fever are associated with acute hypersensitivity pneumonitis.

Answer to Question 2

Correct Answer: 1, 2, 5
When the patient is able to maintain effective respirations and ventilatory support is no longer required, the endotracheal tube is removed (extubation). Cough and swallow reflexes must be intact to prevent aspiration. A hoarse voice is common after extubation. Inspiratory stridor within the first 24 hours indicates laryngeal edema, which may necessitate reintubation. An oxygen saturation of 75 indicates that the patient is not receiving adequate oxygen. Reintubation may be necessary.