While percussing a client's lung area the nurse notes a resonance. What does the tone indicate?
1. The nurse is percussing over a bone.
2. A normal finding.
3. The lungs are solidified.
4. Air is trapped in the lungs.
Correct Answer: 2
Percussion over normal lung tissue should elicit a loud, low-pitched, hollow tone of long duration known as resonance. Flat tones are high-pitched, soft tones of short duration are the result of percussion over solid tissue such as muscle or bone. Solidified areas of the lung will produce dullness on percussion, a high-pitched soft tone of short duration. Percussion over the lung where air has become trapped produces an abnormally loud, low tone of longer duration than resonance.
You might also like to view...
In which instance is using the technique of data mining most appropriate?
1. To document quality improvement when problems are identified and targeted on a medical-surgical unit 2. To find the appropriate treatment for a client with advanced lung cancer 3. To identify an appropriate diagnosis for a client with undetermined signs and symptoms 4. To assist in the determination of the correct dose of medication to give a client in congestive heart failure
When auscultating bowel sounds, which of the following frequencies would you identify as normal?
A) One to two per minute B) Five to 10 per minute C) Thirty to 40 per minute D) Sixty per minute
An older adult patient has a prescription for cyclosporine following a kidney transplant. Which information in the patient's health history has the most implications for planning patient teaching about the medication at this time?
a. The patient restricts salt to treat prehypertension. b. The patient drinks 3 to 4 quarts of fluids every day. c. The patient has many concerns about the effects of cyclosporine. d. The patient has a glass of grapefruit juice every day for breakfast.
Which of the following is one example of a client benefit of using the nursing process?
A) Greater personal satisfaction B) Decreased reliance on the nursing staff C) Continuity of care D) Decreased incidence of medical errors