A nurse is assessing the lung sounds of a client with respiratory disorders. Which of the following is a normal bronchial sound?
A) Shorter on inspiration than expiration, with a pause between them
B) Longer on inspiration than expiration, with no noticeable pause
C) Equal in length during inspiration and expiration, separated by a brief pause
D) Equal in length during inspiration and expiration, with no noticeable pause
A
Feedback:
Normal bronchial sounds are shorter on inspiration than expiration, with a pause between them. Vesicular sounds are longer on inspiration than expiration, with no noticeable pause. Tracheal sounds are equal in length during inspiration and expiration, separated by a brief pause. Bronchovesicular sounds are equal in length during inspiration and expiration, with no noticeable pause.
You might also like to view...
The nurse suspects precocious puberty in the girl who begins showing signs of puberty at the age of:
1. 7 years. 2. 10 years. 3. 13 years. 4. 8 years.
A nurse is volunteering at a local retirement community. She is attempting to organize a walking program. A resident asks, "Why should I exercise at my age?" What is the best response by the nurse?
1. "Exercise has not been shown have any benefits for people over 80.". 2. "Exercise can help reduce the negative effects of stress, which can impact your physical health.". 3. "Exercise can help increase your blood pressure.". 4. "You aren't too old to exercise.".
Often when the nurse interacts with clients in need of teaching, assessment data can provide clues to the nurse in how to proceed. For example, if the client indicates he cannot handle hearing about a device required for care, the nurse can infer that the
A) cannot read. B) is not motivated to learn. C) is anxious. D) has limited ability to provide self-care.
Which are functions of nutrients? Select all that apply.
A) Serve as a source of heat B) Support the growth of tissue C) Aid in the loss of weight D) Help prevent diabetes E) Provide control of disease