A patient is admitted to the critical care unit with acute respiratory failure
Upon auscultation, the health care provider hears creaking, leathery, coarse breath sounds in the lower anterolateral chest area during inspiration and expiration. The nurse suspects that the patient has a(n)
a. emphysema.
b. atelectasis.
c. pulmonary fibrosis.
d. pleural friction rub.
D
A pleural friction rub is the result of irritated pleural surfaces rubbing together and is characterized by a leathery, dry, loud, coarse sound. A pleural friction rub is seen with pleural effusions or pleurisy and is not indicative of emphysema.
You might also like to view...
Which of the following actions would the nurse prioritize for the patient who is experiencing chronic back pain that interferes with activities of daily living (ADLs)?
a. Maintain a pain journal to document quality of his pain experience. b. Meet with the healthcare team to discuss a pain management plan. c. Attempt to take only analgesic medication when absolutely needed. d. Suggest use of a deep-pressure back massage with effleurage technique.
The nurse is caring for an infant with candidal diaper rash. Which topical agent would the nurse expect the physician to order?
A) Corticosteroids B) Antifungals C) Antibiotics D) Retinoids
A patient is admitted for a lumbar laminectomy. The nurse realizes that which of the following portion of the vertebra will be removed?
1. pedicles that attach the arch to the body 2. spinous process 3. roof of the arch 4. cartilage
An older client is extremely anxious after admission, having never been hospitalized before. To help provide a safe environment and minimize the stress of hospitalization on the client, what does the nurse plan to do?
A. Keep visitors to a minimum B. Acknowledge the client's feelings C. Provide information about hospital routines D. Put the client in a room far from the nurses' station E. Keep the door open and the room lights on at all times F. Allow the client to have as many choices regarding his care as possible