Question

9. A patient complains of a one-week history of fever, cough, and purulent sputum. The the patient's lungs notes greatly diminished breath sounds in one area is probably an area of consolidation. What statement this situation? nurse listening to of the left lung and concludes that it reflects that the nurse has a good understanding of The patient probably has TB, since he is coughing up blood. The diagnosis is probably lobar pneumonia, which is consistent with having a. b. consolidated area of lung tissue. The nurse will prepare to help the physician insert a chest tube to reinflate the left C. lung, as the patient probably has a pneumothorax. d. It is likely that the patient has chronic bronchitis and has developed cor pulmonale. A patient with a medical history of CHF presents to her health care provider complaining of PND, 2-pillow orthopnea, DOE, and hemoptysis. She most likely has primary pulmonary hypertension. noncardiogenic pulmonary edema. cardiogenic pulmonary edema. pleural effusion. 10. a. b. c. d. 11. A patient has overdosed with heroin. He is unconscious and his RR is 8. Which of the following set of blood gases is most likely, given this information alone? pH 7.25; PO2= 70; PCO2 50; HCO3= 24. pH-7.49; PO2= 90; PCO2= 25 ; HCO3 25 pH 7.20; PO2 80; PCO2 38; HCO3 18. pH 7.37; PO2 85; PCO2 36; HCO3 26 a. b. C. d. 12. The correct answer above is called respiratory acidosis metabolic acidosis a. b. respiratory alkalosis. metabolic alkalosis C. d.

Answer 1

9. Answer ; b) the diagnosis is probably lobar pneumonia, which consistent with the area of consolidated lung tissue.
Reason ; The nurse done some examination and found out that the patient is having diminished breath sound on the left lungs,
and they had came into the conclusion of Consolidation. Here the patient history tells he had a fever, cough and purulent
sputum, all these manifestation and the findings refers to the condition explained in Option (b).

10. Answer C) cardiogenic pulmonary edema
Reason ; the patient had a complaint of Congestive heart failure, so it heart does not meet the requirement to pump out the
blood that it gains from the other organ. Patient had also dyspnea on exertion, Paroxysmal nocturnal dyspnae and also
orthopnea. All these symptoms here concludes that he would be most likely to have above mentioned condition.

11. Answer ; a) pH= 7.25, PO2= 70, PCO2 = 50, HCO3= 24
Reason ; Here the patient respiratory rate is 8 and he is unconscious. So he will more likely to develop decreased level of
oxygen and increased CO2 , this will leads to imbalance in the pH of the blood. This kind of values are alone mentioned
in option (a).

12. Answer ; A) respiratory acidosis