MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
The nurse is caring for a patient with pleurisy.Which symptoms does the nurse identify correlate with the patient’s illness?
A
Dullness or flatness on percussion over areas of collected fluid
B
Dyspnea and coughing
C
Fever and chills
D
Stabbing pain during respiratorymovement
Explanation: 

Detailed explanation-1: -The most common symptom of pleurisy is a sharp chest pain when breathing deeply. Sometimes the pain is also felt in the shoulder. The pain may be worse when you cough, sneeze or move around, and it may be relieved by taking shallow breaths. Other symptoms can include shortness of breath and a dry cough.

Detailed explanation-2: -The main symptom of pleurisy is pain in the chest. This pain often occurs when you take a deep breath in or out, or cough. Some people feel the pain in the shoulder. Deep breathing, coughing, and chest movement make the pain worse.

Detailed explanation-3: -Nursing care-Administer analgesic.-Teach patient to support ribcage when coughing.-Help reposition to alleviate pain, such as lying on the affected side.-Assess level of anxiety and provide reassurances of safety.

Detailed explanation-4: -Viral infection is one of the most common causes of pleurisy. Viruses that have been linked as causative agents include influenza, parainfluenza, coxsackieviruses, respiratory syncytial virus, mumps, cytomegalovirus, adenovirus, and Epstein-Barr virus.

There is 1 question to complete.