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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Avoid vitamin supplements during therapy: This is not generally advised for isoniazid therapy. In fact, vitamin B6 supplements are often recommended to prevent peripheral neuropathy caused by isoniazid.
B. Drink alcohol in small amounts only: Alcohol can increase the risk of liver toxicity when taking isoniazid. It is typically advised to avoid alcohol altogether during treatment.
C. Report yellow eyes or skin immediately: Isoniazid can cause liver toxicity, which can lead to jaundice (yellowing of the eyes and skin). This is a serious side effect and should be reported immediately to prevent further liver damage.
D. Increase intake of Swiss or aged cheeses: This recommendation is not related to isoniazid therapy. Aged cheeses are more relevant to patients on monoamine oxidase inhibitors (MAOIs) due to tyramine content.
Correct Answer is A
Explanation
A. Bronchospasm occurs when there is inflammation, edema, and excess mucus: Bronchospasm in asthma is characterized by inflammation of the airways, edema of the airway walls, and increased mucus production, leading to constriction and obstruction of the airways.
B. Decreased mucus production contributes to airway constriction: In asthma, bronchospasm is associated with increased mucus production, not decreased. Excess mucus contributes to airway obstruction.
C. Inflammation is reduced due to airway diameter: Inflammation typically increases airway constriction rather than reducing it. The narrowed airway diameter is a result of inflammation, not a reduction in inflammation.
D. Airway obstruction occurs due to thinning mucus: Airway obstruction in asthma is due to thick, tenacious mucus, not thinning mucus. The mucus contributes to the blockage of the airways.
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