The older adult patient with long-term emphysema complains of a ...

[Alainaaa8]

The older adult patient with long-term emphysema complains of a sharp pleuritic pain after a severe period of coughing. The patient's heart rate and respiratory rate have increased. Auscultation reveals no breath sounds on the left side.
 
  These are signs and symptoms of what condition?
  a.
  Pulmonary embolus
  b.
  Spontaneous pneumothorax
  c.
  Early signs of unilateral pneumonia
  d.
  An attack of asthma

Question 2

A patient admitted to the emergency room with a possible myocardial infarction (MI) has reports back from the laboratory. Which laboratory report is specific for myocardial damage?
 
  a. CK-MB
  b. Elevated white count
  c. Elevated sedimentation rate
  d. Low level of sodium

[dellikani2015]

Answer to Question 1

ANS: B
Spontaneous pneumothorax can be caused by a ruptured bleb in a patient with long-term emphysema. The disorder causes chest pain, dyspnea, and anxiety associated with air hunger.

Answer to Question 2

ANS: A
The CK-MB is elevated when there is infarcted myocardial muscle. The elevated white count, low sodium, and ESR are nonspecific.