What condition is the most likely cause of a barrel chest?
Chronic alveolar distention
Chronic costochondritis
Smoking
Hypokalemia
The Correct Answer is A
A. Chronic alveolar distention, often seen in conditions like emphysema, leads to the enlargement of the alveoli and results in a barrel-shaped chest. This is due to the loss of elasticity in the lungs, causing air trapping and an increased anterior-posterior diameter of the chest.
B. Chronic costochondritis causes inflammation of the cartilage between the ribs and sternum, leading to localized pain but not a barrel chest.
C. Smoking is a major risk factor for the development of chronic obstructive pulmonary disease (COPD), which can lead to chronic alveolar distention and a barrel chest, but smoking alone is not the direct cause of the chest shape.
D. Hypokalemia affects muscle function, including the muscles involved in respiration, but it does not directly cause a barrel chest.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While sterile drapes are important for maintaining a sterile field during the procedure, they do not directly address the issue of privacy.
B. Pulling the curtains around the client's bed is the most appropriate action to ensure privacy during the procedure. It creates a physical barrier to maintain confidentiality and dignity for the client while they undergo the lumbar puncture.
C. Closing the door to the client's room can also help maintain privacy but may not be as effective in a shared space like a hospital ward. Curtains are a more immediate and effective means of providing privacy.
D. Asking family members to leave the room may be necessary for the procedure but does not directly relate to privacy during the procedure. The focus should be on ensuring the environment is private by pulling curtains and closing doors.
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.
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