A nurse is providing a presentation to colleagues on emphysema. Which of the following subtypes should the nurse identify as having a complication of pneumothorax?
Proximal acinar emphysema
Centrilobular emphysema
Panacinar emphysema
Distal acinar emphysema
The Correct Answer is D
A. Proximal acinar emphysema: This subtype typically affects the central or proximal parts of the acini, and it is less commonly associated with pneumothorax. The condition primarily affects the respiratory bronchioles.
B. Centrilobular emphysema: Centrilobular emphysema involves the upper lobes and is commonly associated with smoking, but it does not directly lead to pneumothorax as often as distal acinar emphysema.
C. Panacinar emphysema: Panacinar emphysema affects the entire acinus, including the alveoli. Although it can cause significant respiratory issues, it is less strongly associated with pneumothorax compared to distal acinar emphysema.
D. Distal acinar emphysema: Distal acinar emphysema involves the distal parts of the acinus and is often seen in the upper lobes of the lungs. It is strongly associated with the development of pneumothorax, as the damage to the lung tissue can lead to spontaneous ruptures in the alveolar walls, causing air to leak into the pleural space.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Your heart condition is caused when the ventricular tissue becomes fibrous and fatty": This description aligns more with restrictive cardiomyopathy. Dilated cardiomyopathy (DCM) involves the enlargement and weakening of the ventricles rather than fibrous or fatty tissue replacement.
B. "Your heart condition is caused by excessive stretching of the ventricles": Dilated cardiomyopathy is characterized by the excessive stretching of the ventricles, leading to poor contraction and reduced pumping efficiency. This is the most accurate explanation of the condition.
C. "Your heart condition is caused by thickening of the ventricular walls and septum": This description refers to hypertrophic cardiomyopathy, not dilated cardiomyopathy. Hypertrophic cardiomyopathy is characterized by thickened heart walls, not dilation.
D. "Your heart condition is caused from stiffening of the walls of the ventricles": This description refers to restrictive cardiomyopathy, where the heart walls become stiff and less able to expand and contract properly, not dilated cardiomyopathy.
Correct Answer is {"dropdown-group-1":"C"}
Explanation
- Chest pain: Crushing, retrosternal chest pain is highly suggestive of cardiac ischemia or acute coronary syndrome. It requires immediate evaluation due to the risk of myocardial infarction. The presence of fatigue and weakness adds to the urgency. Chest pain is always prioritized due to its life-threatening potential.
- Visual disturbance: Visual changes may indicate hypertension, hyperglycemia, or neurological issues. While concerning, they are typically not immediately life-threatening. These symptoms can be evaluated after cardiac causes are ruled out. They support further systemic investigation.
- Fatigue: Fatigue is a nonspecific symptom seen in many chronic conditions like diabetes, anemia, or heart failure. It does not signal an emergency on its own. It may be related to underlying cardiac issues but is not prioritized over chest pain.
- Increased urination: Polyuria often indicates uncontrolled blood glucose levels or diabetes. It should prompt further testing but does not require immediate intervention. It is a chronic symptom rather than an acute, life-threatening one.
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