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A re expansion pulmonary edema b pleural infection c

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a.Re-expansion pulmonary edemab.Pleural infectionc.Pneumothoraxd.HemothoraxARe-expansion pulmonary edema can occur when a largeamount of effusion fluid (~1000-1500 mL) is removedfrom the pleural space. Removal of the fluid increasesthe negative intrapleural pressure, which can lead toedema when the lung does not re-expand to fill thespace. The patient experiences severe coughing andshortness of breath. The onset of these symptoms is anindication to discontinue the thoracentesis.Increased tactile fremitus is noted in the patient’s lowerright lobe. Which of the following conditions wouldexplain this?a.Pneumothoraxb.Pneumoniac.Pleural Effusiond.COPDBConsolidation such as PNEUMONIA transmit vibrationsreally well.Pneumothorax is associated with decreased fremitus dueto excessive air in the pleural space. Pleural effusion lackan attacked or conducting airway to transmit vibrations.COPD is associated with decreased fremitus due to airtrapping.Palpation of the patient’s trachea reveals a tracheal shiftto the right side. Which of the following would mostlikely cause this finding?a.Right- sided atelectasisb.Right- sided pneumothoraxc.Right- sided pleural effusiond.Left-sided pneumoniaALung problems inside the lung pull the trachea towardthem.Lung problems outside the lung push the trachea away.A patient with multiple right-sided rib fractures wouldpresent with which of the following findings?a.Dull percussion on the right sideb.See- saw chest movementc.Symmetrical chest expansiond.Flail chestDFlail chest is associated with severe chest wall trauma.Percussion is not assessed on patient with broken ribs. Inaddition, percussion may or may not be affecteddepending on if the lung is affected or there is excessivebleeding. Se- saw chest movement is a sign ofdiaphragm fatigue rather than chest trauma. Chestexpansion would be asymmetrical in a patient withbroken ribs.Auscultation of a patient’s lungs reveals coarse bilateralcrackles. This is most likely due to?a.Secretionsb.Pulmonary edemac.Pulmonary fibrosisd.AtelectasisACoarse crackles are associated with secretions.Pulmonary edema is associated with fine crackles.Pulmonary fibrosis is associated with fine crackles.Atelectasis is associated with fine crackles.Auscultation of a 3-year-old child’s lungs revealsunilateral wheezing. This patient most likely has?a.Asthmab.Secretions in the airwayc.Foreign body airway obstructiond.PneumoniaCA child with unilateral wheezing is highly suspicious forforeign body airway obstruction.Asthma would produce bilateral wheezing.Secretions in the airways produce coarse crackles.Pneumonia would produce bronchial breath sounds.Increased accessory muscle use is most often due to?a.Hyperventilationb.Increased airway resistancec.Increased lung complianced.Poor cardiac outputBIncreased airway resistance is the most common causeof increased accessory muscle use.

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