Author Question: A 41-year-old male client has presented to the emergency department with an acute onset of increased ... (Read 50 times)

roselinechinyere27m · **on:** Jun 25, 2018

A 41-year-old male client has presented to the emergency department with an acute onset of increased respiratory rate and difficulty breathing.

STAT chest x-ray indicates diffuse bilateral infiltrates of his lung tissue, and ECG displays no cardiac dysfunction. What is this client's most likely diagnosis?
A)
Cor pulmonale
B)
Acute lung injury
C)
Pulmonary hypertension
D)
Sarcoidosis

Question 2

A patient with a new automatic implantable cardioverter-defibrillator (AICD) asks the nurse what happens if he goes into that deadly heart rhythm again. The nurse will base her response knowing that the AICD will

A)
periodically fire just to test for lead placement and battery life.
B)
respond to ventricular tachyarrhythmia by delivering a shock within 10 to 20 seconds of its onset.
C)
use radiofrequency energy to deliver an electrical shock through the site where the lethal rhythm originates.
D)
remove scar tissue and aneurysm during placement of electrodes and then will shock if paradoxical ventricular movement is located.

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

Answer to Question 1

Ans:
B

Feedback:

Rapid onset of respiratory distress accompanied by diffuse bilateral infiltrates of lung tissue and an absence of cardiac changes are associated with acute lung injury/acute respiratory distress syndrome. These particular signs and symptoms are not as closely associated with cor pulmonale, pulmonary hypertension, or sarcoidosis.

Answer to Question 2

Ans:
B

Feedback:

AICD successfully treats individuals with life-threatening ventricular tachyarrhythmias by use of intrathoracic electrical countershock. It senses and detects ventricular dysrhythmias. It responds by delivering an electrical shock between intrathoracic electrodes within 10 to 20 seconds of its onset. It does not periodically fire to test lead placement. It does not utilize radiofrequency energy (this is used in ablations). The procedure does not remove scar tissue or aneurysms. This is a ventriculotomy.