The nurse knows that the caregiver of a patient with a respiratory illness understands discharge teaching when the caregiver makes which statement?
1. "I can expect to hear adventitious sounds only in the mornings; the rest of the day, breath sounds should be normal."
2. "If I hear extra sounds during a deep breath, I know I am hearing adventitious sounds."
3. "Adventitious sounds may be heard during inspiration or expiration because of secretions or inflammation."
4. "I will know I am hearing adventitious breath sounds if I hear any sounds when I listen over the lower chest."
3
Rationale 1: Adventitious or abnormal breath sounds may be heard at any time of day or night.
Rationale 2: The patient does not need to take a deep breath for adventitious or abnormal sounds to be heard.
Rationale 3: Adventitious or abnormal breath sounds may be heard during inspiration and expiration.
Rationale 4: Adventitious or abnormal breath sounds may be heard over any portion of the chest or back.
You might also like to view...
Fetal heart rate (FHR) monitoring reveals baseline tachycardia in the fetus. Which of the following rates would be most likely?
A) 134 beats per minute B) 144 beats per minute C) 154 beats per minute D) 164 beats per minute
Neuman's theory includes an accordion-like mechanism that protects the normal line of defense. This mechanism is called
A. The accordion line of defense B. The defense line buffer C. The flexible line of defense D. The stressor defense line
A client with bipolar disorder, having experienced a depressive episode, is prescribed lamotrigine. After educating the client on this medication, the nurse determines that the education was successful when the client states which of the following?
A) "I need to notify my physician if I develop a skin rash." B) "I need to have my blood tested about once a month." C) "I have to watch how much salt I use every day." D) "This drug can affect my liver function."
Congenital anomalies can occur with the use of antiepileptic drugs (AEDs), including (Select all that apply):
a. Cleft lip. b. Congenital heart disease. c. Neural tube defects. d. Gastroschisis. e. Diaphragmatic hernia.