Patho Patho #52

Question

The nurse is interviewing a client with possible acute bronchitis. To help establish a diagnosis, the nurse will question specifically about:

Answers

  1. 1. fever.
    • Rationale:

      This answer choice is not correct because fever is not specific to bronchitis and would therefore not aid in the diagnosis.

  2. 2. shortness of breath.
    • Rationale:

      This answer choice is not correct because shortness of breath is not typically associated with acute bronchitis and would therefore not be the most helpful manifestation to aid in the diagnosis.

  3. 3. nausea.
    • Rationale:

      This answer choice is not correct because nausea is not typically associated with acute bronchitis and would therefore not be helpful to aid in the diagnosis.

  4. 4. a productive cough.
    • Rationale:

      This answer choice is correct because a productive cough is the hallmark manifestation of acute bronchitis and would be the most helpful in confirming a diagnosis.

Overview

The focus of this question is asking the nurse to choose which data is most relevant and helpful to confirm a diagnosis of acute bronchitis. Bronchitis usually follows an acute illness such as the flu or common cold during which the client irritates the airways with repeated coughing. The airway becomes irritated and inflamed causing the goblet cells to overproduce mucus. The hallmark manifestation of bronchitis is a productive cough caused by this excess mucus being present in the airway.

Explanation

Learning Outcomes

The hallmark manifestation of bronchitis is a productive cough. The productive cough associated with bronchitis occurs because the goblet cells become overactive due to irritation of repeated and prolonged coughing. The nurse should question a client with suspected bronchitis about a history of productive cough to aid in the diagnosis.

Test Taking Tip

Make sure to always learn the “hallmark” symptoms of disease processes.

Video Rationale