NURS 6501: MIDTERM EXAM:
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Patients with obesity hypoventilation syndrome should be investigated for:
Group of answer choices
- Allergic rhinitis
- Pulmonary hypertension
- Blood disorders
- Asthma
The correct answer is:
Pulmonary hypertension.
Explanation:
Obesity hypoventilation syndrome (OHS), also known as
Pickwickian syndrome, is a condition where individuals with obesity have difficulty breathing deeply or adequately, especially during sleep, leading to hypoventilation (inadequate ventilation). This condition can result in low oxygen levels in the blood and high carbon dioxide levels.
One of the serious complications of OHS is
pulmonary hypertension. The elevated carbon dioxide levels can cause blood vessels in the lungs to constrict, leading to increased pressure in the pulmonary arteries, which is known as
pulmonary hypertension. This condition can eventually strain the right side of the heart, leading to
cor pulmonale (right-sided heart failure).
Why the other options are less relevant:
- Allergic rhinitis: While individuals with obesity may have other comorbidities, allergic rhinitis is not directly linked to obesity hypoventilation syndrome.
- Blood disorders: Blood disorders are not a primary concern or associated with OHS, although obesity can increase the risk of other comorbidities like diabetes or hypertension.
- Asthma: While obesity can contribute to worsening asthma or other respiratory issues, asthma is not typically the primary concern in OHS. Pulmonary hypertension is a more direct complication that should be investigated in patients with this syndrome.
Thus, the correct answer is
pulmonary hypertension, which is a critical aspect to investigate and manage in patients with obesity hypoventilation syndrome.
Question 56 
