The nursing instructor is discussing pulmonary arterial hypertension with the nursing students. What would the instructor describe as the pathophysiology of secondary pulmonary arterial hypertension?
a) Bronchial thickening causes increased resistance and pressure in the pulmonary vascular bed.
b) Chronic lung disease causes scaring in the bronchioles raising pressure in the pulmonary vascular bed.
c) Left-sided heart failure causes increased resistance and pressure in the pulmonary vascular bed.
d) Alveolar destruction causes increased resistance and pressure in the pulmonary vascular bed.
Answer: d) Alveolar destruction causes increased resistance and pressure in the pulmonary vascular bed.
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