When auscultating an infant's lungs, the nurse detects diminished breath sounds. What should the nurse interpret this as?
a. Suggestive of chronic pulmonary disease
b. Suggestive of impending respiratory failure
c. An abnormal finding warranting investigation
d. A normal finding in infants younger than 1 year of age
ANS: C
Absent or diminished breath sounds are always an abnormal finding. Fluid, air, or solid masses in the pleural space all interfere with the conduction of breath sounds. Further data are necessary for diagnosis of chronic pulmonary disease or impending respiratory failure. Diminished breath sounds in certain segments of the lungs can alert the nurse to pulmonary areas that may benefit from chest physiotherapy. Further evaluation is needed in all age groups.
You might also like to view...
The nurse admits an older adult client and reviews orders from the physician
What order would the nurse question? ? Bedrest with bathroom privileges ? Acetaminophen (Tylenol) 650 mg p.o. every 4 hours p.r.n. pain ? Meperidine (Demerol) 100 mg IM every 6 hours p.r.n. pain ? Zolpidem tartrate (Ambien) 5 mg p.o. p.r.n. HS 1. Bedrest 2. Acetaminophen 3. Meperidine 4. Zolpidem tartrate
Which classic sign of an acute myocardial infarction (AMI) can be absent when an older male adult is seen with an AMI?
a. Vague complaints b. Epigastric burning c. Crushing chest pain d. Dyspnea and fatigue
A patient newly diagnosed as being HIV-positive seeks the nurse's advice on how to reduce the risk of infections. The patient states "I used to go to church, and it seems like I was in my best health then
Maybe I should start going to church again.". The reply that shows the best understanding of psychoimmunology is: a. "Religion doesn't usually affect health, but you were younger and stronger then.". b. "Contact with friends at church might help, but probably not religion itself.". c. "Studies show that spiritual practices can enhance immune system function.". d. "If it calms you, it might help, but spiritual practices themselves do not help.".
Which of the following statements is not true of an Institutional Review Board (IRB)?
A) An IRB must consist of at least five members. B) All IRB members must have an affiliation with the institution. C) An IRB can use an expedited review when there are minimal risks. D) Certain types of research are exempt from the IRB process.