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A client is admitted to the hospital for increased shortness of breath, cough, a

ID: 3512523 • Letter: A

Question

A client is admitted to the hospital for increased shortness of breath, cough, and anxiety. The nurse notes her chest
is barrel shaped. The client states she has smoked three packs a day for 30 years. Based on the data, the nurse
should develop a plan of care for the client with:

acute bronchitis.

pneumothorax.

emphysema.

asthma.

The nurse is assessing the client to see if the respiratory defenses are intact. Which of the following would the nurse
ask the client about?

Intake of fluids

Coughing and sneezing and expelling of airway debris

Recent temperature or upper respiratory infection

History of smoking or working in dusty areas

The nurse is explaining the passage of air through the respiratory system to a group of students. Which of the
following is the correct order?

Pharynx, larynx, alveoli, trachea, bronchus, bronchioles

Alveoli, bronchioles, bronchus, trachea, larynx, pharynx

Pharynx, larynx, trachea, bronchus, bronchioles, alveoli

Bronchus, bronchioles, alveoli, pharynx, larynx, trachea

Explanation / Answer

Normally the ratio between transverse and anteroposterior chest diameter is 7 is to 5 .Barrel shaped chest means the ratio becomes 1 isto 1.that is it becomes like a barrel.barrel.shaoed chest is classical diagnostic feature of emphysema.moreovee the history of smoking also aid to the diagnosis.

The defense mechanism of respiratory system can be assessed by sneezing and coughing and expelling the debris out

Sneezing commonly occur in upper respiratory tract infection and when there is any kind if friend body

Cough is to expel the irritative stimuli.any debris ,sputum etc

Passage of respiratory path

Pharynx

Larynx

Trachea

Bronchus

Bronchioles

Alveoli

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