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Scenario 3:Maria is a 36-year-old who presents for evaluation of a cough. She is normally a healthy young lady with no significant medical history. She takes no medications and does not smoke. She reports that she was in her usual state of good health until approximately 3 weeks ago when she developed a “really bad cold.” The cold is characterized by a profound, deep, mucus-producing cough. She denies any rhinorrhea or rhinitis—the primary problem is the cough. She develops these coughing fits that are prolonged, very deep, and productive of a lot of green sputum. She hasn’t had any fever but does have a scratchy throat. Maria has tried over-the-counter cough medicines but has not had much relief. The cough keeps her awake at night and sometimes gets so bad that she gags and dry heaves.•Review the three scenarios, as well as Chapter 27 and Chapter 28 in the Huether and McCance text.•Select one of the scenarios and consider the respiratory disorder and underlying alteration associated with the type of cough described.•Identify the pathophysiology of the alteration that you associated with the cough.•Select two of the following factors: genetics, gender, ethnicity, age, or behavior. Reflect on how the factors you selected might impact the disorder.By Day 3Posta description of the disorder and underlying respiratory alteration associated with the typeof cough in your selected scenario. Then, explain the pathophysiology of the respiratory alteration. Finally, explain how the factors you selected might impact the disorder.Read a selection of your colleagues’ responses.Respiratory AlterationsIn order to assist in the wellness of patients, the advanced practice nurse needs a good understanding of the structure and proper function of the respiratory system, as well as a knowledge of the underlying pathophysiology of alterations in respiratory function when they occur. According to Huether and McCance (2016), pulmonary alterations are associated with certain signs and symptoms, the most common being dyspnea and cough, and less frequently unusual sputum, hemoptysis, hypo and hyperventilation, abnormal breathing patterns, cyanosis, clubbing and pain in the chest. Learning to assess these various symptoms and properly classify the acuity of these indicators will help lead to proper diagnosis and treatment of patients.