Which of the following lung sounds would be most likely heard in a client experiencing an asthma attack?
a. Coarse rales c. Fine crackles
b. Pleural friction rub d. Expiratory wheezes
D
Wheezes are high-pitched, squeaking, whistling sounds produced by airflow through narrowed small airways. They are heard mainly on expiration but may also be heard throughout the ventilatory cycle. Depending on their severity, wheezes can be further classified as mild, moderate, or severe. Rales are crackling sounds produced by fluid in the small airways or alveoli or by the snapping open of collapsed airways during inspiration. A pleural friction rub is a dry, coarse sound produced by irritated pleural surfaces rubbing together and is caused by inflammation of the pleura.
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After teaching the mother about follow-up immunizations for her daughter, who received the varicella vaccine at age 14 months, the nurse determines that the teaching was successful when the mother states that a follow-up dose should be given at which
time? A) When the child is 20 to 36 months of age B) When the child is 4 to 6 years of age C) When the child is 11 to 12 years of age D) When the child is 13 to 15 years of age
You detect a nonmobile fatty mass with a smooth circular edge when palpating deeply in a patient's scalp. This is most likely a
a. hematoma. c. metastatic carcinoma. b. lipoma. d. subcutaneous emphysema.
During an assessment, the nurse determines that a 3-month-old baby has a Moro reflex. What does this finding indicate to the nurse?
A) It usually lasts until 9 months. B) It will persist until the age of 1 year. C) Most 3-month-olds still have a Moro reflex. D) If present at 3 months of age, a neurologic exam is needed.
A patient with a compromised immune system is admitted to the hospital with an infection. What care should the nurse expect this patient to require?
1. early discharge to recover from the infection at home 2. placement in a semiprivate room 3. isolation techniques to protect the patient from further infection 4. placement in respiratory isolation