Author Question: The home care nurse visits a client who has dyspnea. The nurse notes the client has pitting edema in ... (Read 78 times)

sammy · **on:** Jul 22, 2018

The home care nurse visits a client who has dyspnea. The nurse notes the client has pitting edema in his feet and ankles. Which additional assessment would the nurse expect to observe?

A) Crackles in the lower lobes
B) Inspiratory stridor
C) Expiratory stridor
D) Wheezing in the upper lobes

Question 2

A nurse is reading a journal article about pollutants and their effect on an individual's respiratory function. Which problem would the nurse most likely identify as an effect of exposure to automobile pollutants?

A) Atelectasis
B) Bronchitis
C) Bronchiectasis
D) Croup

Jayson · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

Ans: A
Feedback:
People with chronic congestive heart failure often experience shortness of breath because of excess fluid in the lungs and low oxygen levels. Stridor is associated with respiratory infections such as croup. Wheezing may be heard in individuals who use tobacco products.

Answer to Question 2

Ans: B
Feedback:
Bronchitis refers to a condition in which the airways become inflamed, commonly due to respiratory irritants such as air pollution and high humidity. Exposure to such irritants leads to the release of inflammatory mediators, which in turn, lead to inflammation and narrowing of the airways and increased mucus production. Atelectasis refers to the partial or complete collapse of the small air sacs in the lungs, common after surgery or with obstruction or compression of the airways or lungs. Bronchiectasis results from chronic inflammation or infection causing an excess accumulation of mucus. Croup is an infection of the airways, most commonly viral in origin.