A client who presented with shortness of breath and difficulty climbing stairs has been diagnosed with pulmonary fibrosis, a disease characterized by scarring of the alveoli

Upon assessment of the lungs, what clinical manifestations should the nurse expect?
A)
Rapid, deep breaths
B)
Wheezing throughout lung fields
C)
Short, shallow breaths
D)
Pursed-lip breaths with slow, steady breaths


Ans:
C

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Scarring diminishes the elasticity of the lung tissue, resulting in noncompliant lungs that are more difficult to inflate. In order to maintain a sufficient tidal volume and oxygen level with the lungs that require extra work to expand, the individual must take shallower, more rapid breaths. The effort and time required for him to breathe deeply would detract from his ability to bring in enough air.

Nursing

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