The nurse assesses the client's lungs to find high-pitched musical sounds on inspiration and expiration. Which does the nurse use to characterize the findings?
1. Rhonchi
2. Wheezes
3. Crackles
4. Friction rub
2
2. High-pitched musical breath sounds are wheezes that result from bronchospasm; the smaller the constricted airways, the higher the pitch of the wheeze.
1. Rhonchi are low-pitched rumblings indicative of fluid in larger airways; rhonchi are potentially cleared with coughing.
3. Crackles are higher pitched than rhonchi and a sharper sound indicating fluid or atelectasis in dependent lobes of the lungs.
4. A friction rub is heard on inspiration and expiration but, characteristically, is a grating sound. A friction rub is frequently accompanied by pain and fever.
You might also like to view...
A nurse researcher would consider which causes of normal aging a potential topic for study?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Defects in DNA repair 2. Alteration of cell proliferation 3. Progeria 4. Alteration of stem cell proliferation 5. Cell senescence
During sleep apnea, the nurse can anticipate which laboratory values?
A) A rise in blood CO2, a drop in blood O2 B) A rise in blood CO2, a rise in blood O2 C) A drop in blood CO2, a rise in blood O2 D) A drop in blood CO2, a drop in blood O2
Formal communication in health care is used to properly inform staff of (select all that apply):
a. Changes in CPR certification dates. b. Christmas party celebration. c. Patient survey results. d. Girl Scout cookie order pick-up. e. Termination of an employee.
A patient who wishes to have an unmedicated birth is in the transition stage. She is very uncomfortable and turns frequently in the bed. Her partner has stepped out momentarily. How can the nurse be most helpful?
1. Talk to the patient the entire time. 2. Turn on the television to distract the patient. 3. Stand next to the bed with hands on the railing next to the patient. 4. Sit silently in the room away from the bed.