A male client arrives at the clinic for a follow-up health assessment after recent antibiotic treatment for pneumonia without hospitalization. Which technique should the nurse implement to assess for adventitious lung sounds?

Have the client lay flat while listening to the anterior surface of the chest

Press the stethoscope's diaphragm firmly on the skin over each lung field

Shave all chest hair that may distort sounds heard through the diaphragm

Use the bell of the stethoscope to listen to the lung fields over lower lobes

Answer and Explanation

The Correct Answer is B

A. Having the client lay flat while listening to the anterior surface of the chest may not provide the best assessment of lung sounds, especially if the client is uncomfortable or if the posterior lung fields are not assessed. A sitting position is generally preferred for lung auscultation.
B. Pressing the stethoscope's diaphragm firmly on the skin over each lung field is the correct technique for assessing lung sounds. The diaphragm is better suited for detecting high-pitched sounds, such as wheezes, crackles, and other adventitious lung sounds.
C. Shaving chest hair may reduce extraneous noise but is unnecessary in most cases. Pressing the diaphragm firmly can usually eliminate the interference caused by hair, and shaving is not a standard procedure for lung auscultation.
D. The bell of the stethoscope is used for detecting lower-pitched sounds, such as heart murmurs, not for lung auscultation. The diaphragm is the appropriate tool for assessing adventitious lung sounds in all lung fields.

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Correct Answer is A

Explanation

A. Encouraging fluid intake is important in managing elevated uric acid levels and conditions like gout. Increased fluid intake helps dilute the uric acid in the blood and promotes its excretion through the kidneys, which can help reduce the frequency of gout attacks.
B. Increasing the intake of red meat is not advisable, as red meat is high in purines, which can exacerbate gout by increasing uric acid levels. Clients with elevated uric acid should avoid purine-rich foods to prevent worsening their condition.
C. While measuring urine output can be useful in monitoring kidney function, it does not directly address the elevated uric acid levels or the acute gout symptoms the client is experiencing.
D. Splinting the affected joint may help with pain management by immobilizing the joint, but it is not a primary intervention for reducing uric acid levels or preventing further gout attacks. The focus should be on managing the underlying cause.

A. Evaluate client's muscle strength and hand grips. B. Observe skin for erythema, edema, and warmth. C. Review the client's serum electrolytes. D. Check distal phalanges capillary refill.

Correct Answer is B

Explanation

A. Evaluating muscle strength and hand grips helps assess motor function and strength but does not directly identify causes of paresthesia, such as sensory or circulatory issues.
B. Observing the skin for erythema, edema, and warmth is important for identifying potential underlying causes of paresthesia, such as inflammation, infection, or poor circulation, which could be contributing to the burning sensation.
C. Reviewing serum electrolytes can be useful in assessing overall metabolic status but is less directly related to identifying the cause of localized paresthesia compared to assessing skin condition or other specific sensory symptoms.
D. Checking distal phalanges capillary refill assesses peripheral circulation but does not directly address the burning sensation or potential underlying causes like inflammation or nerve compression.

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A male client arrives at the clinic for a follow-up health assessment after recent antibiotic treatment for pneumonia without hospitalization. Which technique should the nurse implement to assess for adventitious lung sounds?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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