Respiratory Question #48


A 32-year-ol client with alpha1-antitrypsin deficiency is admitted to the respiratory floor and the nurse assigned to the client will monitor for which condition?


  1. Influenza
  2. Pneumonia
  3. Atalectasis
  4. Lobular emphysema


Lobular emphysema is associated with alpha1-antitrypsin deficiency, which is the result of a genetic deficiency of the plasma proteinase inhibitor a1-antitrypsin. Persons with the condition may develop emphysema even if they are not smokers, and the disease may become manifest in early adult years. If the genetic tendency is present and the client becomes a smoker, the risk is very high. This type of emphysema is panacinar and will involve all respiratory spaces including alveoli and may result in scar formation. None of the other selections apply to this condition.