Laryngeal obstructions would elicit which breath sound?
a. Fremitus
b. Stridor
c. Rhonchi
d. Crepitus
B
Obstructions high in the respiratory tree (e.g., laryngeal obstructions) are characterized by stridor.
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Arrange the following decimals from largest to smallest: 0.33, 0.045, 0.7
What will be an ideal response?
A nurse is assessing a patient who is receiving traction. The nurse's assessment confirms that the patient is able to perform plantar flexion. What conclusion can the nurse draw from this finding?
A) The leg that was assessed is free from DVT. B) The patient's tibial nerve is functional. C) Circulation to the distal extremity is adequate. D) The patient does not have peripheral neurovascular dysfunction.
The nurse is instructing a client with a history of acidosis on the use of sodium bicarbonate. Which client statement indicates that additional teaching is needed?
A) "I should contact the doctor if I have any gastric discomfort with chest pain." B) "I need to purchase antacids without salt." C) "I should use the antacid for at least 2 months." D) "I should call the doctor if I get short of breath or start to sweat with this medication."
As a component of a patient's comprehensive respiratory assessment, the nurse is preparing to assess for the presence of tactile fremitus. How should the nurse direct the patient prior to this assessment?
A) "Please say 'toy boat' after I put my stethoscope on your back." B) "Take few deep breaths after I put my hands on your ribs." C) "Take a deep breath while I tap your back in a few places with my fingers." D) "I'd like you to say 'one, two, three' for me a few times while I feel your chest and back."