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A patient with a history of COPD Is being monitored for potential complications. Which of the following findings should the nurse report immediately as it may indicate the development of a complication?

A.

Mild wheezing

B.

Fatigue and general malaise

C.

Increased sputum production

D.

Sudden onset chest pain and dyspnea

Answer and Explanation

The Correct Answer is D

A. Mild wheezing: Mild wheezing can be a common symptom in COPD and does not immediately indicate a severe complication unless it worsens suddenly.

 

B. Fatigue and general malaise: Fatigue and malaise are often chronic in COPD and do not necessarily indicate an acute complication.

 

C. Increased sputum production: While increased sputum could suggest an infection, it is not the most urgent sign of a severe complication.

 

D. Sudden onset chest pain and dyspnea: Sudden chest pain and dyspnea are concerning for a pneumothorax or pulmonary embolism, both of which are potential complications in COPD and require immediate attention.


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View Related questions

Correct Answer is A

Explanation

A. Otosclerosis. Otosclerosis is a common cause of conductive hearing loss, typically due to abnormal bone growth around the stapes in the middle ear.

B. Acoustic neuroma. Acoustic neuroma is associated with sensorineural hearing loss, not conductive hearing loss.

C. Meniere's disease. Meniere's disease usually causes sensorineural hearing loss, often accompanied by vertigo and tinnitus.

D. Presbycusis. Presbycusis is age-related sensorineural hearing loss and does not result in conductive hearing loss.

Correct Answer is D

Explanation

A. Asthma: Asthma is a respiratory condition and is not a common complication associated with diabetes.

B. Osteoporosis: Osteoporosis is a bone disease more commonly associated with hormonal changes, aging, or steroid use, not directly linked to diabetes.

C. Liver cirrhosis: Liver cirrhosis is usually caused by alcohol use, hepatitis, or other liver diseases, not directly due to diabetes.

D. Cardiovascular disease: Diabetes is a significant risk factor for cardiovascular disease due to its association with atherosclerosis, hypertension, and dyslipidemia.

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