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Chapter 92: Pleural Effusions and Pleurisy

Buttaro: Primary Care: A Collaborative Practice, 6th Edition

Multiple Choice

1. A patient reports shortness of breath when in a recumbent position as well as coughing and pain associated with inspiration. The provider notes distended neck veins during the exam. What is the likely cause of these findings?

a. Congestive heart failure (CHF) b. Hepatic disease c. Pulmonary embolus d. Pulmonary infection

ANS: A

CHF causes the symptoms described above, with distended neck veins being a significant finding. Hepatic disease would also cause abdominal distention with ascites and hepatomegaly. Pulmonary embolus has marked shortness of breath. Pulmonary infection causes inflammation and a friction rub.

Multiple Response

1. Which are causes of pleural effusions? (Select all that apply.)

a. Allergies b. Breast cancer c. Bronchiectasis d. Congestive heart failure (CHF)

NURSINGTB.COM e. Dehydration

ANS: B, C, D

Breast cancer, bronchiectasis, and CHF can all cause pleural effusions. Allergies and dehydration do not.

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