A 65-year-old patient with a history of heart failure comes to ...

[mp14]

A 65-year-old patient with a history of heart failure comes to the clinic with complaints of being awakened from sleep with shortness of breath. Which action by the nurse is most appropriate?
 
  a. Obtaining a detailed health history of the patient's allergies and a history of asthma
  b. Telling the patient to sleep on his or her right side to facilitate ease of respirations
  c. Assessing for other signs and symptoms of paroxysmal nocturnal dyspnea
  d. Assuring the patient that paroxysmal nocturnal dyspnea is normal and will probably resolve within the next week

Question 2

During percussion, the nurse knows that a dull percussion note elicited over a lung lobe most likely results from:
 
  a. Shallow breathing.
  b. Normal lung tissue.
  c. Decreased adipose tissue.
  d. Increased density of lung tissue.

[mariahkathleeen]

Answer to Question 1

ANS: C
The patient is experiencing paroxysmal nocturnal dyspneabeing awakened from sleep with shortness of breath and the need to be upright to achieve comfort.

Answer to Question 2

ANS: D
A dull percussion note indicates an abnormal density in the lungs, as with pneumonia, pleural effusion, atelectasis, or a tumor. Resonance is the expected finding in normal lung tissue.

[mp14]

TYSM

[amit]

Gracias!