Question

The nurse is obtaining the health history of a client who complains of dyspnea. Which would indicate a possible diagnosis of chronic obstructive pulmonary disease (COPD)?

1) No history of dyspnea
2) Previous diagnosis of chronic bronchitis
3) Absent history of cigarette smoking
4) Yearly respiratory infections in the winter

Answer 1

A client with dyspnea and a previous diagnosis of chronic bronchitis might indicate a possible diagnosis of chronic obstructive pulmonary disease (COPD). COPD involves chronic poor airflow and reduced alveoli function.

Step-by-step explanation:

The client who complains of dyspnea and has a history of which condition might indicate a possible diagnosis of chronic obstructive pulmonary disease (COPD)? The option that most strongly suggests COPD is a previous diagnosis of chronic bronchitis. COPD is characterized by chronic poor airflow and is commonly manifested as shortness of breath and a chronic productive cough. An important aspect of the disease is the breakdown of connective tissues in the lungs, leading to a reduction in the number and elasticity of alveoli. This causes difficulty in fully exhaling air from the lungs, which hampers gas exchange and can result in low oxygen levels. A history of chronic bronchitis fits the description of COPD symptoms and the disease's relationship with the condition as described historically.