The pediatric nurse assessing a patient for breath sounds documents a loud, high-pitched sound heard only over the trachea. The nurse should document this finding as which of the following?

A.
Adventitious breath sound
B.
Bronchial breath sound
C.
Bronchovesicular breath sound
D.
Vesicular breath sound


ANS: B
Bronchial breath sounds are loud, high-pitched, and heard only over the trachea. Bronchovesicular breath sounds are of intermediate intensity and pitch, with equal inspiratory and expiratory phases. These sounds are best heard between the scapulae and over the mainstem bronchi. Vesicular breath sounds are heard throughout the lung fields. These soft and low-pitched sounds have a longer inspiratory than expiratory phase. Adventitious sounds of these three classifications are described as crackles, wheezes, and rhonchi, respectively.

Nursing

You might also like to view...

A neonatal intensive care unit nurse is caring for an infant with RSV. What route of delivery will the nurse use when ribavirin (Virazole) is administered?

A) Oral suspension B) Topical C) Intravenous D) Inhaled

Nursing

When providing care in a home, how will the nurse best implement infection control?

A) Cleanse the hands before and after giving direct patient care B) Remove the patient's wound dressings from the home C) Dispose of patient's syringes in the patient's garbage D) Disinfect all work areas in the patient's home

Nursing

Balancing factors that help clients after a crisis would not include:

1. Degree of threat to life. 2. Realistic perception of the event. 3. Decreased or limited communication. 4. Adequate coping mechanisms.

Nursing

Which prescription should the nurse anticipate to administer to a client with acute iron intoxication?

A. Folic acid B. Deferoxamine (Desferal) C. Blood transfusion D. Cyanocobalamin (Nascobal)

Nursing