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The nurse is taking the health history of a patient being treated for
Emphysema and Chronic Bronchitis. After being told the patient has
been smoking cigarettes for 30 years, the nurse expects to note
which assessment finding?
1. Increase in Forced Vital Capacity (FVC)
2. A narrowed chest cavity
3. Clubbed fingers
4. An increased risk of cardiac failure
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Ans: 1. Increase in Forced Vital Capacity (FVC)
Forced Vital Capacity is the volume of air exhaled from full inhalation to
full exhalation. A patient with COPD would have a decrease in FVC.
Incorrect.
2. A narrowed chest cavity
A patient with COPD often presents with a 'barrel chest,' which is seen as
a widened chest cavity. Incorrect.
3. Clubbed fingers - CORRECT
Clubbed fingers are a sign of a long-term, or chronic, decrease in oxygen
levels.
4. An increased risk of cardiac failure
Although a patient with these conditions would indeed be at an
increased risk for cardiac failure, this is a potential complication and not
an assessment finding. Incorrect.
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The nurse is taking the health history of a 70-year-old patient being
treated for a Duodenal Ulcer. After being told the patient is
complaining of epigastric pain, the nurse expects to note which
assessment finding?
1. Melena
2. Nausea
3. Hernia
4. Hyperthermia
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Ans: 1. Melena - CORRECT
Melena is the finding that there are traces of blood in the stool which
presents as black, tarry feces. This is a common manifestation of Duodenal
Ulcers, since the Duodenum is further down the gastric anatomy.
2. Nausea
Nausea may be present, but is a generalized symptom and by itself
doesn't indicate a Duodenal Ulcer. Incorrect.
3. Hernia
A Hernia is a protrusion of a segment of the abdomen through another
abdominal structure. It is not associated with an Ulcer and is a condition,
not an assessment finding. Incorrect.
4. Hyperthermia
Hyperthermia, a high temperature, is not an assessment finding of a
Duodenal Ulcer. Incorrect