The nurse is preparing to auscultate a patient's lungs. Which breath sounds would the nurse consider abnormal? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Crackles
2. Vesicular breath sounds
3. Bronchovesicular breath sounds
4. Wheezes
5. Bronchial breath sounds
1,4
Rationale 1: Crackles are caused by airways that collapse during expiration and "pop" open during inspiration or by air bubbles passing through fluid. They are not normal breath sounds.
Rationale 2: Vesicular breath sounds are the soft, low-pitched sounds heard over the majority of lung fields. They are normal.
Rationale 3: Bronchovesicular breath sounds represent air movement in the moderate airways between the main bronchi and smaller airways. They are normal breath sounds.
Rationale 4: Wheezes are continuous musical sounds caused by air flowing across airways that are narrowed or obstructed. They are abnormal breath sounds.
Rationale 5: Bronchial breath sounds are heard over the major airways and are normal.
You might also like to view...
During a health-maintenance visit, a 15-year-old girl mentions that she is not happy with how overweight she is. Which of the following approaches is best for the nurse to take?
A) "Good observation. Let's talk about diet and exercise." B) "Don't worry; you are within the weight and height guidelines." C) "What specifically have you been noticing?" D) "Tell me about your parents. Are they overweight?"
An 83-year-old client with a history of congestive heart failure is admitted to the acute care facility with pneumonia. During the admission process it is noted the client has Stage 2 Alzheimer's disease and has been living with his daughter
When plans for life support and code status are addressed, the daughter voices questions about the potential success of resuscitating her father. What information should be provided to answer this query? A) "Resuscitation is often effective for older adults like your father." B) "Resuscitation for cardiac or respiratory arrest for your father, given his history, will have little probability of success." C) "If your father would require resuscitation, he will likely be returned to his same level of functioning as before the event." D) "As long as the resuscitation efforts are initiated quickly, he will likely survive."
The nurse is planning care for a preschool-age client who has cerebral palsy (CP). Which interventions are appropriate for this client?
1. Providing heath supervision 2. Collaborating with physical therapy 3. Assisting with planning educational services 4. Prescribing medication for spasticity 5. Promoting growth and development
The nurse is preparing a client for a pelvic examination. Which of the following would be included in the nurse's instructions?
A) Ask the client to empty her bladder before the examination. B) Ask the client to take shallow breaths during the examination. C) Place the client in a prone position on the examination table. D) Tell the client that she will feel no discomfort related to the examination.