Which of the following clients are more than likely experiencing impairment of the Mucociliary blank with...

Which of the following clients are more than likely experiencing impairment of the Mucociliary blank with cilia dysfunction? Select all that apply.

a. A smoker who smokes 2 packs of cigarettes/day and currently hospitalized with pneumonia

b. A middle-aged diabetic client with bilateral neuropathy

c. military guard person stationed in Germany

d. A mountain skier who spends all day outside teaching ski lessons

e. A nursing home client diagnosed with H1N1 influenza with fever of 102°F

Expert Solution

The answer is a, b& e

The answer is a because

Cilia is lining in the upper respiratory tract the main function is to sweep out mucous and dirt so that particles will not enter the lungs and keep our lungs clear.Due to smoking the cilia gets paralyzed and gets killed due to which the dirt particles enter the lungs and causes infection, smokers get more cold and respiratory infections.Respiratory infections like pneumonia their will be infection of Parenchyma of lung.

The answer is b also because

Aging ,daibetes patient with bilateral neuropathy are associated with decresed nasocillary Clearance due to cilary dysfunction and the client is more like to cause infections.

The answer is also e because

In the early stages of influenza infection respiratory cells are modified ciliary function decreases, viral neuraminidase is expressed at the surface of the epithelial cells and the neuraminidase lowers the adhesion of mucous, leaving the cells unprotected allowing the bacteria to develop at their surface.

Nightingale answered 2 years ago

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