DD Chapter 7

hyperventilation with changes in level of consciousness

Common symptoms of respiratory acidosis would be most closely represented by which of the following descriptions?

-look at past medical history, risk factors, clinical presentation, and associated signs and symptoms -evaluate whether the symptoms can be reproduced with palpation or movement. -pulmonary symptoms may be exacerbated or increased by supine position and alleviated or decreased when the patient is lying on the involved side -examine the patient for trigger points

If a client reports that the shoulder/upper trap muscle pain increases with deep breathing, how can you assess whether this results from a pulmonary or musculoskeletal cause?

neoplasm

Neurologic symptoms such as muscle weakness or muscle atrophy may be the first indication of

False However, medical referral is usually not considered necessary when a client presents with singular systemic sign or symptom, especially in the presence of a clear clinical presentation of a musculoskeletal pattern

True or False The presence of a persistent dry cough (no sputum or phlegm produced) has no clinical significance to the therapist

doesnt answer in book

back pain with radiating numbness and tingling down the leg past the knee does not occur as a result of:

all of the above -destruction of the alveoli -reduced elasticity of the lungs -increased effort to exhale

dyspnea associated with emphysema is the result of

All of the above -anterior neck -upper trap -ipsilateral shoulder -thoracic spine -costal margins -upper abdomen

pain associated with pleuropulmonary disorders can radiate to the

decrease

the presence of pain and anxiety can often lead to hyperventilation. When a client hyperventilates, the arterial concentration of carbon dioxide will do which of the following?

autosplinting occurs when lying on the involved side quiets respiratory movement and reduces or eliminates symptoms. most musculoskeletal problems are made worse by placing this kind of pressure on the symptomatic shoulder, neck, or thoracic spine.

what is the significance of autosplinting?

equal significance -usually progresses from the patient first noticing dyspnea with exertion and then dyspnea at rest -both should be considered red flags

which symptom has greater significance: dyspnea at rest or exertional dyspnea?