MN551 ADVANCED PATHOPHYSIOLOGY - KAPLAN UNIVERSITY QUIZ 4

 MN551 ADVANCED PATHOPHYSIOLOGY - KAPLAN UNIVERSITY QUIZ 4

1. A patient who presented with shortness of breath and difficulty climbing stairs has been diagnosed with pulmonary fibrosis, a disease characterized by scarring of the alveoli. What would her care team anticipate when observing her breathing?

**Short, shallow breaths

2. A short, nonsmoking middle-aged man presents to the emergency department with left-sided chest pain and a cough. He says that the pain started abruptly, just after lunch, and that breathing and coughing make it worse. He denies recent injury. He is breathing shallowly and rapidly and expresses fear that he may be having a heart attack. Breath sounds are normal, and he is not cyanotic. Which condition is most likely causing his symptoms?

**Pleuritis related to infection

3. Which of the following patients who presented to a walk-in medical clinic is most likely to be diagnosed with a rhinosinusitis rather than a common cold?

**A man complaining of general fatigue, a headache, and facial pain with a temperature of 100.9°F

4. A 66-year-old male presents to the emergency department accompanied by his wife who claims that he has been acting confused. The man is complaining of a sudden onset of severe weakness and malaise and has a dry cough and diarrhea. His temperature is 102.8°F and his blood work indicates his sodium level is 126 mEq/L (normal is 135 to 145 mEq/L). What will be the assessing nurse practitioner's most likely suspicion?

**Legionnaire disease

5. A 71-year-old woman is dependent on oxygen therapy and bronchodilators due to her diagnosis of emphysema. Which of the following processes would her care team be most justified in ruling out?

**Decreased residual lung volume due to impaired alveolar ventilation

6. A premature infant on mechanical ventilation has developed bronchopulmonary dysplasia (BPD) and is showing signs and symptoms of hypoxemia, low lung compliance, and respiratory distress syndrome (RDS). Which of the following is the most likely contributor to the infant's present health problem?

**High inspired oxygen concentration and injury from positive-pressure ventilation

7. Following a winter power outage, a patient who had been using a home gasoline generator began to experience dizziness and headaches and was diagnosed with carbon monoxide poisoning. What is the goal of hyperbaric oxygen treatment for carbon monoxide poisoning?

**To increase the amount of oxygen dissolved in plasma

8. Which of the following patients are NOT displaying known risk factors for the development of pulmonary emboli?

**A patient who has impaired Cl– and Na+ regulation