[Solved]: Case Study: Obstructive and Restrictive Lung…

Case Study: Obstructive and Restrictive Lung Diseases The following six questions are part of an unfolding case study. Question 2 / 6 Note: You will not have another attempt on this question if you navigate away. Please take your time answering this question before moving forward. Analyze Cues Review the electronic health record and respond to the question that follows. History & Physical Date/TimeHistory & Physical 03/12/20XX 0534 Chief Complaint: fatigue, shortness of breath with productive cough History of Present Illness: Alfonso Smith (pronouns he/him/his), a 74-year-old male, presents with complaints of fatigue, dyspnea, and a cough with yellowish-red tinged sputum. He was diagnosed with a viral upper respiratory tract infection 2 days ago and states, “I am getting worse.” Up to date with influenza and COVID vaccinations. Negative influenza and COVID tests. Medications: Multivitamin, ferrous sulfate, calcium carbonate, metformin, Lipitor Past Medical History: type 2 diabetes mellitus, anemia, hypercholesteremia , COPD Review of Systems: General: Clean, well-groomed appearance Neurological: Alert and oriented to person, place, time, and situation (A&O x 4) Cardiovascular: Tachycardic. S1 and S2 are present, and the capillary refill is less than 3 seconds Respiratory: Respirations shallow and rapid at rest; Inspiratory crackles Gastrointestinal: Reports regular, daily bowel movements. Denies abdominal pain Genitourinary: Denies any GI symptoms Musculoskeletal: Denies any pain. Ambulates unassisted Integumentary: Skin pink, warm, and dry Allergies: None reported Social History: Retired; lives with spouse Family History: No significant family history was reported Vital Signs: Temperature: 101.4 °F (38.6 °C); Heart rate: 102 bpm; Respiratory rate: 32 breaths per minute; Blood pressure: 136/76 mmHg; Pulse oximetry: 95% on room air Complete the following sentence by choosing from the list of options. Based on the client’s past medical history and current symptoms, the nurse practitioner (NP) should recognize that the client is experiencing complications of hypersensitivity pneumonitispneumoniaacute respiratory failure revealing a clinical presentation of an obstructivea restrictivea mixed obstructive and restrictivelung disease.