CH 1 PATIENT ASSESSMENT Q AND A

CH 1 PATIENT ASSESSMENT Q AND A


a.buexacerbationbuofbucopd

Negativeburesultsbuforbucreatinebukinase,butroponinbuI,buandbutroponinbuTbuwouldburulebuoutb
uabumyocardialbuinfarction.buNegativeburesultsbuforbubrainbunatriureticbupeptidebuwouldburul

ebuoutbucongestivebuheartbufailure.buNonebuofbuthesebutestsbuisbuabumarkerbuforbupneumonia
.buSo,bubybuthebuprocessbuofbuelimination,buthebupatient'sbudyspneabuhasbutobubebucausedbub
ybuabuworseningbuofbuhisbuCOPD.bu-buanswer--
Abu67buyearbuoldbumalebupatientbuwithbuabuhistorybuofbucopdbuwithbuheartbufailurebuhasbuarriv
edbuinbuthebuedbuwithbuabuccbuofbudyspnea,butobuhelpbuwithbuthebudifferentialbudiagnosis,buthe
buphysicianbuordersbuthebupatientsbubloodbutobubebutestedbuforbubactermia,buck-

mb,buctnl,buctnt,bubnp.buallburesultsbuarebunegative,buwhatbuisbumostbulikelybuthebucausebuofbut
hebupatientsbudysnpea

a.buexacerbationbuofbucopd
b.bumyocardialbuinfarction
c.bupneumonia
d.bucongestivebuheartbufailure

c.buconsolidationbuinbuthebupatientsburightbulowerbulobe

Bronchialbubreathbusoundsbuarebunotbunormalbuinbutheburightbulowerbulobebuandbuindicatebuc
onsolidationbuofbuthebualveoli.buNeitherbupneumothoraxbunorbupleuralbueffusionbucanbubebui
dentifiedbubybubronchialbubreathbusounds.bu-buanswer--
Inbulisteningbutobuabupatientsbulungsbubronchialbubreathbusoundsbuarebuheardbuoverbutheburig
htbulowerbulobebuarea.buthesebuwouldbuindicatebuwhichbuofbuthebufollowing?

a.bunormalbulungs
b.bupneumothorax
c.buconsolidationbuinbuthebupatientsburightbulowerbulobe
d.bupleuralbueffusionbuinbuthebupatientsburightbulowerbulobe

b.burightbusidebupneumothorax

Thebupatient'sbusignsbuandbusymptomsbubestbufitbuthosebuofbuaburight-
sidedbupneumothorax.buAlthoughbuitbuisbupossiblebuforbuabupatientbutobubreakbuabubonebuwhi
lebuliftingbuweights,buthisbuwouldbunotbuproducebushortnessbuofbubreath,buabuhyperresonantb
upercussionbunotebuonbutheburightbuside,buandbuabutrachealbushiftbutobuthebuleft.buAnbuacutebu

myocardialbuinfarctionbucouldbucausebuabusuddenbuchestbupainbuandbushortnessbuofbubreat
hbubutbuwouldbunotbucausebuabuhyperresonantbupercussionbunotebuonbutheburightbusidebuorbu
abutrachealbushiftbutobuthebuleft.bu-buanswer--
Afterbufeelingbuabusuddenbuchestbupainbuandbusobbuwhilebuliftingbuheavybuweightsbuabu37buy
earbuoldbumanbudrovebuhimselfbutobuthebued.buafterbustartingbuo2butherapy,butheburtbuperform
edbuabuphysicalbuexambuonbuthebupatient.bupertinentbufindingsbuincludedbuabuhyperresonan

, tbupercussionbunotebuonbutheburightbusidebuandbuabutrachealbushiftbutobuthebuleft.bubasedbuonbu
thesebufindings,buwhatbuisbuthebupatientsbumostbulikelybuproblem?

a.bubrokenburibsbuonbutheburightbuside
b.burightbusidebupneumothorax
c.bubrokenbuclaviclebuonbutheburightbuside
d.buacutebumyocardialbuinfraction

d.bupatientbulungbuhasbuanbuairbuleak.

Thebupatient'sbuhistorybuofbuinjurybuandbucrepitusbuindicatesbuairbuunderbuthebuskin.buThebuai
rbuunderbuherbuskinbuwouldbuhavebutobucomebufrombuabupneumothorax.bu-buanswer--
Theburtbuisbucalledbutobuthebuedbutobuhelpbucarebuforbuabupatientbuwhobuwasbuinbuabucarbuaccid
entbuandbuhasbuchestbuinjuries,buincludingbubrokenburibs.bucrepitationsbuarebufeltbuwhilebupal
patingbuthebupatientsbuneck.buwhatbuisbuthebumostbulikelybucausebuofbuthis?

a.buthebupatientbuhasbuabularyngealbutumor
b.bubloodbuinbuthebubackbuofbuthebupatientsbuthroat
c.bupatientbuaspiratedbuabutooth
d.bupatientbulungbuhasbuanbuairbuleak.

a.bubacterialbupna

Allbuofbuthebupatient'sbusymptomsbupointbutobuabubacterialbupneumoniabuproblem.buThebuoth
erbuoptionsbumaybuhavebusomebubutbunotbuallbuofbuthebunotedbusymptoms.bu-buanswer--
Theburespiratorybutherapistbuisbucalledbutobuhelpbuinbuthebuevauluationbuofbuabu55buyobumaleb
upatient.buthebufollowingbusignsbuandbusymptomsbuarebunoted,buoralbutempbuofbu40bucbu(104.

5)budiaphoresis,burrbuofbu22buandbuthebuusebuofbuaccesorybumusclesbuofburespiration,buandbu
palpitableburhonchibuinbutheburightbulowerbulobe.buyoubuwouldbususpectbuwhichbuofbuthebufoll
owingbudiagnoses?

a.bubacterialbupna
b.buheartbuattack
c.bupneumothorax
d.buviralbupna

c.buemotionalbustate

Thebupatientbuisbureactingbuwithbuangerbutobuhisbudiagnosisbuofbucancer.buHebushouldbubebue
valuatedbuforbuemotionalbustate.buThebuotherbuproblemsbushouldbunotbucausebuanger.bu-
buanswer--

Sincebubeingbutoldbuofbuthebudiagnosisbuofbucancerbuabupatientbuhasbubecomebuargumentati
vebuaboutbuthebucarebureceivedbuandbuthreatensbutobuhitbuthebunursebuandbuthebutherapist.but
hebupatientbushouldbubebuevaluatedbufor?

a.bulanguagebubarrierbuproblems
b.buhypercarbia
c.buemotionalbustate
d.buhypoxemia