During auscultation of the lungs of an adult patient, the nurse notices the presence of bronchophony. The nurse should assess for signs of which condition?
a. Airway obstruction
b. Emphysema
c. Pulmonary consolidation
d. Asthma
ANS: C
Pathologic conditions that increase lung density, such as pulmonary consolidation, will enhance the transmission of voice sounds, such as bronchophony
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A nurse reviews the chart of a client seen at the nursing clinic for treatment of tension headache. Which client complaint did the nurse enter into the nursing record?
1. "When the music plays so loud, my head starts to pound." 2. "My whole cheek hurts, and it feels like I have bruising under my eye." 3. "Usually there is just this steady pressure around my entire head." 4. "I can tell it's coming on; sometimes I vomit before it hits."
Preset positive pressure used to augment the patient's inspiratory effort is known as
a. positive end-expiratory pressure (PEEP). b. continuous positive airway pressure (CPAP). c. pressure control ventilation (PCV). d. pressure support ventilation (PSV).
A patient is admitted to the critical care unit with an acute head injury after a motor vehicle accident
The patient has a Glasgow Coma Scale score of 6 . The patient is intubated and ventilated, and a ventriculostomy is placed with physician orders to keep the ICP less than 15 mm Hg. The patient's ICP continues to rise despite aggressive intervention. Which of the following is an advantage of a ventriculostomy ICP monitoring system? a. Lower risk of infection b. Ease of insertion c. No penetration of brain d. Access for cerebrospinal fluid drainage and sampling
Which of the following is the electrolyte responsible for establishing and maintaining the osmolarity and volume of the extracellular fluid?
a. calcium c. sodium b. potassium d. phosphate