The nurse is auscultating the chest of a patient who is admitted with asthma. What type of adventitious breath sounds is the nurse most likely to hear?
a. fine crackles c. pleural friction rub
b. stridor d. sonorous wheeze
D
Fine crackles are heard in COPD, CHF, pneumonia, pulmonary fibrosis, and atelectasis. Stridor is heard in croup, foreign body obstruction, and large airway tumors. Pleural friction rub is heard in pleurisy, tuberculosis, pulmonary infarction, pneumonia, and lung abscesses. A sonorous wheeze is heard in asthma, bronchitis, airway edema, tumor, bronchiolar spasm, and foreign body obstruction.
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The nurse is administering a medication to the client with a positive inotropic effect. Which action of the medication does the nurse anticipate?
A) Slow the heart rate B) Increase the force of myocardial contraction C) Depress the central nervous system D) Dilate the bronchial tree
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An obese postoperative client without known respiratory or central nervous system disease is unable to be extubated in the postanesthesia recovery unit due to abnormal ABG results
The client does not respond to the nurse's commands and has a respiratory rate of 10. What ABG results might the nurse expect? 1. pH – 7.28; PaO2 of 80 mmHg; paCO2 55 mmHg; HCO3 22 mmHg; SaO2 92% 2. pH – 7.35; PaO2 of 58 mmHg; paCO2 36 mmHg; HCO3 25 mmHg; SaO2 85% 3. pH – 7.42; PaO2 of 52 mmHg; paCO2 45 mmHg; HCO3 26 mmHg; SaO2 82% 4. pH – 7.44; PaO2 of 59 mmHg; paCO2 50 mmHg; HCO3 25 mmHg; SaO2 89%