Nokea
A 64-year-old female is admitted to the hospital. She has smoked two packs per day for 30 years. While providing her history, she becomes dyspneic and appears very anxious. She has a cough with thick white sputum production. Her chest is barrel shaped. Based on these data, the nurse will need to develop a plan of care for a client with?
Correct Answer: B
Rationale: The correct answer is B: Chronic obstructive pulmonary disease (COPD). The patient's smoking history, dyspnea, anxiety, chronic cough with sputum production, and barrel-shaped chest are indicative of COPD. Smoking is the primary cause of COPD, leading to airway inflammation and airflow limitation. The dyspnea, cough, and sputum production are common symptoms of COPD due to air trapping and mucus hypersecretion. The barrel-shaped chest is a sign of hyperinflation of the lungs seen in COPD patients. Pneumonia (A) typically presents with symptoms like fever and productive cough, not necessarily dyspnea and barrel chest. Tuberculosis (C) commonly presents with weight loss, night sweats, and hemoptysis, not the symptoms described. Asthma (D) often presents with wheezing, chest tightness, and reversible airflow obstruction, not the chronic symptoms described in this case.