57. A 40-year-old client visits the clinic for respiratory difficulty. He tells you that he has been a chain-smoker for the last 20 years. What information would you provide to such a client? Give reasons for your answer.

45. A 5-year-old girl with a history of recurrent infections since the age of 4 months is brought to the physician for a follow-up examination. She has had multiple episodes of pneumonia, sinusitis, otitis media, and diarrhea. She is at the 20th percentile for height and weight. Her temperature is 37.4°C (99.3°F). Mild crackles are heard bilaterally over the lower lung lobes. Laboratory studies show: Leukocyte count Segmented neutrophils Eosinophils 10,500/mm³ (N=5500-15,500) 57% 2% Lymphocytes 34% CD3+ T lymphocytes 67% CD19+ B lymphocytes 28% CD56+ natural killer cells 5% Monocytes 7% Serum IgA IgG IgM undetectable (N=14-159 mg/dL) 25 mg/dL (N=345-1236) 410 mg/dL (N=43-207) This patient most likely has an abnormality of which of the following immune system components? A) Activation-induced deaminase B) CD40 ligand OC) Class II MHC protein D) Common y chain of the interleukin-2 (IL-2) receptor E) Recombination-activating gene 1 F) Terminal complement

The nurse makes a home visit. The family meets the nurse at the door reporting their father is "really anxious and is having problems breathing." The immediate intervention is to: Elevate the head of the bed to semi Fowler's position and provide supplemental oxygen via nasal cannula to improve gas exchange. Since the problem may be related to persuasion, take VS and administer anti-anxiety medications. Auscultate the lungs, since the patient may have pneumonia which is prohibiting adequate gas exchange. This may be an indication that this is the last stage of life and confusion may be causing the symptoms.

88.A patient with pneumonia is prescribed a cough suppressant containingdextromethorphan. Which statement made by the patient indicates to the RN that more teaching is needed?“I can take this medication every 4 to 8 hours as needed to control coughing.”“This medication can result in addiction if taken for long periods of time.”“I need to call my doctor if the cough lasts more than one week."“It is not safe drink alcohol while using this medication.”