derate distress. His temperature is 38.4°C (101.1°F), and respirations are 26/min. Pulse oximetry on room air shows an oxygen saturation of 88%. Bronchial breath sounds are ard over the right lung base posteriorly with egophony and increased tactile fremitus. A chest x-ray shows right lower lobe pneumonia. Which of the following mechanisms is the st likely cause of the hypoxia in this patient? Alveolar fibrosis Hypoventilation Right-to-left cardiac shunt Right ventricular failure Ventilation-perfusion mismatch 4 D
derate distress. His temperature is 38.4°C (101.1°F), and respirations are 26/min. Pulse oximetry on room air shows an oxygen saturation of 88%. Bronchial breath sounds are ard over the right lung base posteriorly with egophony and increased tactile fremitus. A chest x-ray shows right lower lobe pneumonia. Which of the following mechanisms is the st likely cause of the hypoxia in this patient? Alveolar fibrosis Hypoventilation Right-to-left cardiac shunt Right ventricular failure Ventilation-perfusion mismatch 4 D
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![187. A previously healthy 59-year-old man comes to the emergency department because of a 1-day history of fever, shortness of breath, and productive cough. He appears to be in
moderate distress. His temperature is 38.4°C (101.1°F), and respirations are 26/min. Pulse oximetry on room air shows an oxygen saturation of 88%. Bronchial breath sounds are
heard over the right lung base posteriorly with egophony and increased tactile fremitus. A chest x-ray shows right lower lobe pneumonia. Which of the following mechanisms is the
most likely cause of the hypoxia in this patient?
A) Alveolar fibrosis
B) Hypoventilation
C) Right-to-left cardiac shunt
D) Right ventricular failure
E) Ventilation-perfusion mismatch
27](/v2/_next/image?url=https%3A%2F%2Fcontent.bartleby.com%2Fqna-images%2Fquestion%2Fc600b0d5-f546-4737-8728-f3811232eff5%2Fc5cf5f2f-b8ec-47be-92f3-e40d52c01ffa%2Fit6prmr_processed.png&w=3840&q=75)
Transcribed Image Text:187. A previously healthy 59-year-old man comes to the emergency department because of a 1-day history of fever, shortness of breath, and productive cough. He appears to be in
moderate distress. His temperature is 38.4°C (101.1°F), and respirations are 26/min. Pulse oximetry on room air shows an oxygen saturation of 88%. Bronchial breath sounds are
heard over the right lung base posteriorly with egophony and increased tactile fremitus. A chest x-ray shows right lower lobe pneumonia. Which of the following mechanisms is the
most likely cause of the hypoxia in this patient?
A) Alveolar fibrosis
B) Hypoventilation
C) Right-to-left cardiac shunt
D) Right ventricular failure
E) Ventilation-perfusion mismatch
27
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