Lewis Med-Surg Exam Questions (82 Terms) With Verified Definitions Updated 2024

Which disease processes are associated with a pleural friction rub? Select all that apply. {Ans: Pleural friction, characterized by a creaking or grating sound during inspiration or expiration, is caused by roughened, inflamed pleural surfaces rubbing together. Pneumonia and pulmonary infarction can lead to pleural friction. Cystic fibrosis causes continuous rumbling, snoring, or rattling sounds when rhonchi obstruct large airways. Wheezes are present in the patient with bronchospasm. Pulmonary edema is associated with coarse crackles caused by air passing through the airway when it is intermittently occluded by mucus.}The nurse would monitor which comorbidity in the patient who requires high doses of inhaled corticosteroids (ICSs) for asthma management? {Ans: Although ICS use is generally not associated with systemic complications, patients who use high doses of ICSs will need monitoring for corticosteroid-induced osteoporosis. Hyperlipidemia is not a complication of ICS use. Thyroid function is not impaired by ICS use. Cholecystitis is not caused by ICS use.}How many minutes is the appropriate recovery period after activity for the patient with chronic obstructive pulmonary disease (COPD)? {Ans: Developing exercise endurance is very important. If it takes longer than 5 minutes to return to baseline, the patient has most likely "overdone