The nurse assesses an adult patient with a cardiopulmonary illness and hears a grating sound over the lower lateral lung during inspiration that does not clear with coughing
What would the nurse most likely document as a result of the assessment findings? a. Rhonchi
b. A pleural friction rub
c. Wheezes
d. Crackles
B
A pleural friction rub is heard over the anterior lateral lung field if the patient is sitting upright. It has a grating quality that is best heard during inspiration. It does not clear with coughing. It in-dicates inflamed parietal pleura rubbing against visceral pleura. Rhonchi indicate fluid or mucus in larger airways causing turbulence in the airways. Rhonchi can sometimes be cleared by coughing. Wheezes are heard all over the lung fields and indicate a narrowed or obstructed bronchus. Crackles, formerly called rales, are most common in dependent lobes and indicate fluid in the small airways.
You might also like to view...
The opening between the stomach and duodenum is called the __________
Fill in the blank(s) with correct word
In addition to following the Health Insurance Portability and Accountability Privacy Act (HIPAA) of 1996 regulations, nurses must also develop good judgment about appropriate sharing of patient information
Indicate whether this statement is true or false.
The nurse is preparing to do a research study on the effects of tight insulin control for diabetes. Using the knowledge that epidemiologic research can be descriptive or analytical, which would be the strongest study design to consider?
A) Retrospective B) Quasi-experimental C) Experimental D) Randomized, control group
Parents who are discussing with the clinic nurse the undescended testicle of their son indicate their understanding of the condition when they say:
a. "An undescended testicle can reduce fertility.". b. "The testicle usually descends spontaneously during the first month of life.". c. "Surgical correction reduces the risk for testicular tumors.". d. "We know our child will not develop secondary sex characteristics.".