The nurse is listening to the breath sounds of a patient with severe asthma. Air passing through narrowed bronchioles would produce which of these adventitious sounds?
a. Wheezes
b. Bronchial sounds
c. Bronchophony
d. Whispered pectoriloquy
ANS: A
Wheezes are caused by air squeezed or compressed through passageways narrowed almost to closure by collapsing, swelling, secretions, or tumors, such as with acute asthma or chronic emphysema.
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Which of the following measures would the nurse instruct a woman about to retard the development of osteoporosis after menopause?
A) Taking vitamin supplements. B) Eating foods high in calories and fiber. C) Limiting fluid intake to 1000 mL daily. D) Getting regular daily exercise.
The nurse demonstrates knowledge of the different mechanisms of action of laxatives by stating:
1. "My client should be encouraged to use a stimulant laxative whenever he feels the need to have a bowel movement." 2. "My client should consume plenty of water, since he is taking a bulk-forming laxative." 3. "My client should not strain when having a bowel movement, so the health care provider likely will prescribe a bulk-forming laxative." 4. "My client should expect to have a delayed reaction to a saline cathartic."
The nurse caring for a client whose last menstrual period was four weeks ago would anticipate the use of which of the following tests to positively confirm a pregnancy?
A) Doppler auscultation of fetal heart tones B) pelvic x-ray C) abdominal ultrasound D) transvaginal ultrasound
The nurse is conducting an assessment of a high school track athlete. The client tells the nurse he is experiencing pain along his outer thigh. He describes it as tight, achy, and tender, particularly after he runs
The nurse understands that he is most likely experiencing what kind of pain? A) Cutaneous B) Neuropathic C) Visceral D) Deep somatic