The nurse is reinforcing discharge instructions to the client with pulmonary sarcoidosis. The nurse knows that the client understands the information if the client verbalizes which early sign of exacerbation?

Fever

Weight loss

Fatigue

Shortness of breath

Answer and Explanation

The Correct Answer is D

A. Fever: Although fever can occur with various respiratory conditions, it is not the most specific early sign of an exacerbation in pulmonary sarcoidosis.

B. Weight loss: Weight loss is a more general symptom and not specifically indicative of an exacerbation of sarcoidosis.

C. Fatigue: Fatigue is a common symptom of sarcoidosis but is not necessarily an early sign of an exacerbation.

D. Shortness of breath: Shortness of breath is a significant early indicator of exacerbation in pulmonary sarcoidosis. It reflects worsening inflammation and granuloma formation affecting lung function.

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Correct Answer is A

Explanation

A. Diarrhea: Diarrhea leads to the loss of bicarbonate, an important buffer in the blood, which can contribute to the development of metabolic acidosis as the body loses bicarbonate faster than it can replace it.

B. Vomiting: Vomiting typically leads to metabolic alkalosis due to the loss of stomach acid, which reduces the amount of hydrogen ions in the body.

C. Salicylate intoxication: This condition primarily causes a mixed acid-base disturbance, including metabolic acidosis and respiratory alkalosis, due to its effects on both the metabolic and respiratory systems.

D. Hyperventilation: This condition causes respiratory alkalosis due to excessive loss of carbon dioxide, not metabolic acidosis.

A. Hyperventilation B. Abdominal pain C. Dry skin D. Diarrhea

Correct Answer is A

Explanation

A. Hyperventilation: Respiratory alkalosis is typically caused by hyperventilation, which leads to excessive loss of carbon dioxide and an increase in blood pH. This is a primary finding in respiratory alkalosis.

B. Abdominal pain: While abdominal pain can occur in various conditions, it is not a specific or common finding associated with respiratory alkalosis.

C. Dry skin: Dry skin is not a direct manifestation of respiratory alkalosis. It is not typically associated with the changes in acid-base balance seen in respiratory alkalosis.

D. Diarrhea: Diarrhea is not commonly associated with respiratory alkalosis. Instead, gastrointestinal symptoms like diarrhea are more commonly related to metabolic acidosis or other conditions.

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The nurse is reinforcing discharge instructions to the client with pulmonary sarcoidosis. The nurse knows that the client understands the information if the client verbalizes which early sign of exacerbation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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