The nurse is preparing to auscultate a client's lungs. Which of the following breath sounds would be considered abnormal? Standard Text: Select all that apply
1. Crackles
2. Vesicular
3. Bronchovesicular
4. Wheezes
5. Bronchial
1,4
Rationale 1: Crackles. Crackles are adventitious, or abnormal, lung sounds produced by collapsed or fluid-filled alveoli.
Rationale 2: Vesicular. Vesicular sounds are normal and can be heard over the apices.
Rationale 3: Bronchovesicular. Bronchovesicular sounds are normal sounds that can be auscultated over the bronchi.
Rationale 4: Wheezes. Wheezes are the result of blocked airflow as in asthma, infection, or due to a foreign body.
Rationale 5: Bronchial. Bronchial sounds are normal and can be heard to the right and left of the trachea over the bronchi.
You might also like to view...
The nurse is providing care to an ill child and his family. Which of the following activities would deviate from the basic principles of case management?
A) Collaborating with the family throughout the care path B) Focusing on both the client's and the family's needs C) Coordinating care provided by the interdisciplinary team D) Ensuring quality care regardless of the cost
The nurse is assessing a client admitted for oliguria of unknown origin. During the admission, the client asks the nurse what affects urinary output. The nurse would list which of the following when responding? Standard Text: Select all that apply.
1. Bladder size 2. Bowel patterns 3. Medications 4. Client temperature 5. Fluid intake
What reaction should the nurse expect of a 3-year-old child following the death of a sibling?
a. Expresses feelings of anger by initiating violent acts b. Believes that death is not a permanent state c. Fears death of others close to him d. Asks many questions about how death hap-pens
All of the following would be helpful and accurate nursing advice concerning bathing the new baby except:
1. newborns should be bathed every day, for the bonding as well as the cleaning. 2. sponge baths are recommended until the infant's umbilical cord falls off and the umbilicus is healed. 3. only plain warm water should be used to preserve the skin's acid mantle. 4. powders are not recommended because the infant can inhale powder.