The nurse is hearing diminished breath sounds and a grating sound ...

[Redwolflake15]

The nurse is hearing diminished breath sounds and a grating sound during respirations. This is consistent with excess collection of fluid in the pleural cavity. The medical term for this is
 
  A)
  pleurisy.
  B)
  pleural effusion.
  C)
  pneumothorax.
  D)
  poor lung compliance.

Question 2

A short, nonsmoking 44-year-old male presents to the emergency room with left-sided chest pain and a cough. He states that the pain started abruptly and worsens with deep breathing and coughing.
 
  He denies recent injury. Assessment includes shallow respirations with a rate of 36, normal breath sounds, and no cyanosis. Which condition is most likely causing his symptoms?
  A)
  Myocardial infarction
  B)
  Spontaneous pneumothorax
  C)
  Pleuritis related to infection
  D)
  Obstructive atelectasis

[momolu]

Answer to Question 1

Ans:
B

Feedback:

Pleural effusion is used to describe an abnormal collection of fluid or exudates in the pleural cavity. Pleurisy is an inflammation in the pleural space, and pneumothorax is an abnormal collection of air in the pleural space.

Answer to Question 2

Ans:
C

Feedback:

Pleuritis, which frequently accompanies infections that cause cough, is unilateral, starts abruptly, and is worsened by coughing or deep breathing. The client's shallow, rapid breathing may be due to anxiety but also is a way of maintaining adequate air intake while avoiding deep breathing, which exacerbates the pain of pleuritis. His cough may be an indication of infection, especially as he is not a smoker. The pain of myocardial infarction is not worsened by deep breathing or coughing. Spontaneous pneumothorax would be very unlikely in a short, nonsmoking middle-aged man. Tachypnea might indicate obstructive atelectasis, but normal breath sounds and lack of cyanosis argue against it.

[Redwolflake15]

TYSM

[zacnyjessica]

Excellent