You are caring for a client admitted with chronic bronchitis. the client is having difficulty breathing, and the family asks you what causes this difficulty. what would be your best response?
a. "anytime there is a chronic disease process it is hard for the person to breathe."
b. "having a chronic respiratory disease scars the lung and affects the effort it takes to breathe."
c. "in this particular case your family member is just overly tired and having problems breathing."
d. "conditions such as chronic bronchitis cause thickening of the bronchial mucosa so it makes it harder to breathe."

A41-year-old man comes to the clinic complaining of a chronic cough over the past 4 months, which has now been accompanied by haemoptysis. he denies smoking or any past medical history. on physical examination, his head and neck examination is normal. his lungs have diffuse bilateral rales. cardiac examination is normal. laboratory findings reveal na 142 meq/l, k 4.2 meq/l, cl 110 meq/l, hco3 24 meq/l, bun (blood urea nitrogen) 39 mg/dl, creatinine 2.9 mg/dl. urinalysis reveals microscopic haematuria and 4+ proteinuria. which of the following serologic blood tests would most confirm the suspected diagnosis? - anti-glomerular basement membrane antibodies- anti-mitochondrial antibodies- anti-neutrophilic antibodies- anti-parietal cell antibodies- anti-smooth muscle antibodies