Author Question: An adolescent client is brought to the emergency department (ED) with fatigue, weight loss, a dry ... (Read 109 times)

hubes95 · **on:** Jun 25, 2018

An adolescent client is brought to the emergency department (ED) with fatigue, weight loss, a dry cough, and night sweats. The family just recently immigrated to the United States.

Based on this data, for which potential risk should the nurse include when planning care for this client?
A) Pneumothorax
B) Pneumonia
C) Renal failure
D) Septicemia

Question 2

List the pathophysiology concepts related to the onset of sepsis in sequential order.

A) Macrophage-producing cytokines are released.
B) Endotoxin released by microorganisms sets off an out-of-control inflammatory process.
C) Neutrophils arrive and multiply, occluding capillaries.
D) Vasodilation with increased capillary permeability and fluid leak.

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

Answer to Question 1

Answer: A

This client was foreign-born, a risk factor for tuberculosis (TB), and has the classic symptoms of tuberculosis. The nurse plans frequent respiratory assessments, as this child is at risk for pneumothorax. Patients with TB are not at particular risk for pneumonia, renal failure, or septicemia.

Answer to Question 2

Answer: B, A, D, C

The pathophysiology of sepsis occurs as follows: Endotoxin released by microorganisms sets off an out-of-control inflammatory process; macrophage-producing cytokines are released; vasodilation with increased capillary permeability and fluid leak; neutrophils arrive and multiply, occluding capillaries.