A patient with a history of smoking reports shortness of breath. Which condition is most likely?

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Question 1 of 5

A patient with a history of smoking reports shortness of breath. Which condition is most likely?

Correct Answer: B

Rationale: Emphysema, a COPD type, is strongly linked to smoking and causes shortness of breath due to alveolar destruction, unlike asthma (allergy-related), pneumothorax (lung collapse), or pulmonary edema (fluid-related).

Question 2 of 5

A nurse is preparing a patient for a thoracentesis. What is the priority nursing action?

Correct Answer: B

Rationale: Positioning the patient upright facilitates fluid drainage during thoracentesis and ensures safety, taking priority over monitoring BP, sedation, or checking saturation initially.

Question 3 of 5

A patient with a history of heart disease reports dyspnea on exertion. What is the likely cause?

Correct Answer: B

Rationale: Left heart failure causes pulmonary congestion, leading to dyspnea on exertion, common in heart disease. Pulmonary embolism, pneumothorax, or bronchitis are less directly tied to exertion.

Question 4 of 5

A patient with chest pain and hypoxia is suspected of having which condition?

Correct Answer: A

Rationale: Myocardial infarction can cause chest pain and hypoxia due to reduced cardiac output and oxygenation, more acutely than pneumonia, asthma, or pleurisy.

Question 5 of 5

A patient with a history of smoking is at risk for which oxygenation issue?

Correct Answer: A

Rationale: Smoking is a primary cause of chronic bronchitis, a COPD type impairing oxygenation, more directly than heart failure, pneumothorax, or pulmonary edema.

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