Mr. Gomez, a 55-year-old taxi driver, complains of tickling in the throat and a bubbling sensation in the chest, then coughs up bright red, frothy blood mixed with sputum. The nurse aide reports this finding to the nurse as:
  1. Hematemesis
  2. Orthopnea
  3. Intercostal retraction
  4. Hemoptysis
Explanation
Answer: D - The client has the symptoms associated with hemoptysis: bubbling sensation in the chest, tickling in the throat, and coughing up blood with the sputum. The client did not vomit blood (hematemesis), has no manifestations of being able to breathe only when in a sitting position (orthopnea), and has no in drawing chest movement between the ribs (inter costal retraction).
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