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A 77-year-old man is a hospital inpatient admitted for exacerbation of his chronic
obstructive pulmonary disease (COPD), and a respiratory therapist (RT) is assessing the
client for the first time. WhichNUofRthSeIfNolGloTwBin.gCaOspMects of the patient's
current state of health would be best characterized as a symptom rather than a sign? A) The
patient's oxygen saturation is 83% by pulse oxymetry.
The patient notes that he has increased work of breathing when lying supine.
The RT hears diminished breath sounds to the patient's lower lung fields bilaterally.
The patient's respiratory rate is 31 breaths/minute. Ans: B
Feedback:
Symptoms are subjective complaints by the person experiencing the health problem, such
as complaints of breathing difficulty. Oxygen levels, listening to breath sounds, and
respiratory rate are all objective, observable signs of disease.
Which of the following situations would be classified as a complication of a disease or
outcome from the treatment regimen? Select all that apply.
Massive pulmonary emboli following diagnosis of new-onset atrial fibrillation
Burning, intense incision pain following surgery to remove a portion of colon due to
intestinal aganglionosis
Development of pulmonary fibrosis following treatment with bleomycin, an antibiotic
chemotherapy agent used in treatment of lymphoma
Gradual deterioration in ability to walk unassisted for a patient diagnosed with Parkinson
disease
Loss of short-term memory in a patient diagnosed with Alzheimer disease Ans: A, C
Feedback:
Development of pulmonary emboli and pulmonary fibrosis following chemotherapy are
both examples of a complication (adverse extensions of a disease or outcome from
treatment). It is normal to expect incisional pain following surgery. As Parkinson disease
progresses, the inability to walk independently is expected. This is a normal progression for
people diagnosed with Parkinson's. Loss of short-term memory in a patient diagnosed with
Alzheimer disease is an expected finding.
Laboratory testing is ordered for a male patient during a clinic visit for a routine follow-up
assessment of hypertension. When interpreting lab values, the nurse knows that
a normal value represenNtsUtRheStIesNt GreTsuBl.tsCthOaMt fall within the bell curve.
if the lab result is above the 50% distribution, the result is considered elevated.
all lab values are adjusted for gender and weight.
if the result of a very sensitive test is negative, that does not mean the person is disease
free.
Ans: A
Feedback:
What is termed a normal value for a laboratory test is established statistically from results
obtained from a selected sample of people. A normal value represents the test results that
fall within the bell curve or the 95% distribution. Some lab values (like hemoglobin) are
adjusted for gender, other comorbidities, or age. If the result of a very sensitive test is