Question

While auscultating breath sounds of a patient who was stung multiple times by a yellow jacket, you hear bilateral wheezing over all lung fields. This indicates:

1) rapid swelling of the upper airway tissues.
2) a significant amount of fluid in the alveoli.
3) narrowing of the bronchioles in the lungs.
4) enlargement of the bronchioles in the lungs.

Answer 1

Bilateral wheezing over all lung fields after a yellow jacket sting indicates the narrowing of the bronchioles in the lungs, a sign of an allergic reaction such as an asthma attack.

Step-by-step explanation:

Bilateral wheezing over all lung fields in a patient who was stung multiple times by a yellow jacket most likely indicates narrowing of the bronchioles in the lungs. This is a common sign of an allergic reaction, potentially leading to an asthma attack or bronchospasm, where the airways become inflamed and constricted, often accompanied by excessive mucus production. It is not typically associated with rapid swelling of the upper airway tissues, significant fluid in the alveoli, or enlargement of the bronchioles which are indicative of other conditions such as anaphylaxis, pneumonia, or other respiratory diseases, respectively.