Which of the following is an example of a high-pitched adventitious breath sound that is heard predominantly on expiration?
a. fine crackle c. sonorous wheeze
b. sibilant wheeze d. stridor
B
A sibilant wheeze is an adventitious breath sound that is heard predominantly on expiration and sounds high pitched and musical. A fine crackle (rale) is heard predominantly on inspiration and sounds like dry, high-pitched crackling or popping. A sonorous wheeze (rhonchi) is heard on expiration, is low pitched, and sounds like snoring. Stridor sounds like crowing and is heard on inspiration.
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On assessing lacrimal function, which response by the patient requires additional investigation?
A) "My eyes water terribly when I get near onions." B) "I never seem to have trouble with my eyes watering." C) "I have noticed more tearing when my eyes are tired." D) "My left eye tears constantly and my right one is dry."
At 38 weeks gestation, the client reports to the nurse that she will return to work when her child is two weeks old, and her grandmother will care for the infant. This is an example of:
A. A developmental task. B. A spiritual belief. C. An economic employment trend. D. A family development stage.
A client has been complaining of pain, even though the nurse has given the client the maximum amount of medication as ordered by the physician. Which action demonstrates the nurse's respect for the client's autonomy?
1. Telling the client that he will have to "tough it out" 2. Calling the physician for further orders 3. Telling co-workers that this client has no pain tolerance 4. Believing the client is drug seeking