A young girl with a history of asthma is brought to her family nurse practitioner (FNP). The child is wheezing and has prolonged expirations. The basic etiology of her signs and symptoms (S&S) includes:

use of accessory muscles for breathing.

bronchial-lining swelling that prevents ease of exhalation.

destruction of elastic recoil properties of the lungs.

difficulty with inhalation due to stiff alveoli that have filled with fluid.

Answer and Explanation

The Correct Answer is B

A. Accessory muscle use is a response to respiratory distress, not the underlying cause of asthma symptoms.

B. Asthma causes inflammation and swelling of the bronchial lining, which narrows the airways and makes it difficult to exhale air from the lungs, leading to prolonged expiration and wheezing.

C. Destruction of elastic recoil is associated with chronic lung conditions like emphysema, not asthma.

D. Stiff alveoli and fluid-filled lungs are more characteristic of restrictive lung diseases or pulmonary edema, not asthma.

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Correct Answer is D

Explanation

A. Chancres are not associated with glomerulonephritis; this option is incorrect as it refers to syphilis, which does not cause this condition.

B. Glomerulonephritis typically leads to decreased urine output due to reduced GFR, not increased urine output.

C. Poor skin turgor is usually indicative of dehydration rather than hyperproteinemia; in glomerulonephritis, the issue is typically a loss of proteins in the urine, leading to edema.

D. In post-streptococcal glomerulonephritis, hypoproteinemia (loss of protein due to kidney damage) causes fluid to shift from the vascular space to tissues, resulting in edema.

A. Stable angina. B. Pulmonary embolus. C. Myocardial infarction. D. Unstable angina.

Correct Answer is A

Explanation

A. Stable angina is characterized by chest pain or discomfort that occurs with physical exertion or stress and is relieved with rest or nitroglycerin.

B. Pulmonary embolus typically causes sudden shortness of breath, chest pain, and possible hemoptysis, but not a pattern that resolves with rest or cessation of activity.

C. Myocardial infarction (MI) typically causes prolonged chest pain that does not resolve quickly and is not relieved by rest.

D. Unstable angina is more severe than stable angina, occurring at rest or with minimal activity, and does not resolve quickly. It also increases in frequency and intensity over time.

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A young girl with a history of asthma is brought to her family nurse practitioner (FNP). The child is wheezing and has prolonged expirations. The basic etiology of her signs and symptoms (S&S) includes:

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Explanation

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