Upon auscultation of a client's lung sounds, the nurse notices a high-pitched wheezing sound. What condition is the likely cause of this sound?
Pleural effusion
Emphysema
Airway constriction
Hemoptysis
The Correct Answer is C
A. Pleural effusion involves the accumulation of fluid in the pleural space, which typically causes a decrease or absence of breath sounds, not wheezing.
B. Emphysema is a type of chronic obstructive pulmonary disease (COPD) that leads to damage of the alveoli and air sacs, which may result in wheezing, but it is not the most direct cause of high-pitched wheezing.
C. High-pitched wheezing is often a result of airway constriction or narrowing, which occurs in conditions like asthma, bronchitis, or anaphylaxis. The sound is caused by turbulent airflow through narrowed airways.
D. Hemoptysis refers to coughing up blood and does not cause wheezing. It is a symptom that may be associated with various respiratory conditions, but it does not directly cause the wheezing sound.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Atherosclerosis, the buildup of fatty plaques in the arteries, is a common cause of death in patients with progeria. These patients experience accelerated aging, which leads to early development of cardiovascular diseases, including atherosclerosis, which contributes to their early mortality.
B. Psychosis is not typically associated with progeria. The condition primarily affects physical aging processes rather than causing psychiatric symptoms like psychosis.
C. While rapid aging is the hallmark of progeria, it is not the direct cause of death. Instead, it leads to the development of age-related diseases like cardiovascular issues, which are the main contributors to mortality.
D. Scleroderma is a condition involving the hardening of the skin and connective tissues, but it is not a direct cause of death in progeria. The primary cause of death is related to cardiovascular complications such as atherosclerosis.
Correct Answer is A
Explanation
A. Alkalemia refers to a condition in which the blood pH is higher than the normal range (7.35–7.45), specifically above 7.45. A pH of 7.5 indicates alkalemia, which is an increase in blood pH.
B. Alkalosis refers to a condition in which the body is in a state of alkalinity, but it is a broader term that can describe either metabolic or respiratory alkalosis. Alkalemia specifically refers to the pH measurement itself.
C. Acidosis refers to a condition in which the blood pH is lower than normal (below 7.35), indicating an excess of hydrogen ions or a deficiency of bicarbonate.
D. Acidemia refers to a condition in which the blood pH is below the normal range, indicating acidosis. A pH of 7.5 does not fall into this category.
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