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","E"]

Explanation

A. The number of packs of cigarettes smoked per day is essential for calculating smoking pack years, as it directly impacts the total exposure to cigarette smoke. This figure, multiplied by the number of years the client has smoked, gives the pack years.
B. While the age when the client started smoking can provide context, it is not directly used in the calculation of pack years. The calculation requires the total number of years smoked, not the starting age.
C. The client's current age is not necessary for the calculation of pack years. What matters is the total number of years the client has smoked.
D. The number of attempts to quit smoking is not relevant to calculating pack years. This information may be useful for understanding the client’s smoking history and readiness to quit but does not factor into the pack year calculation.
E. The number of years the client smoked is crucial for determining pack years, as it, along with the packs per day, determines the total exposure to cigarette smoke over time.

A. Crepitus. B. Non-tender. C. Tenderness. D. Thrill.

Correct Answer is B

Explanation

A. Crepitus is an abnormal finding that indicates the presence of air in the subcutaneous tissues or other issues like joint or lung abnormalities. It is not a normal finding upon palpation.
B. Non-tenderness is a normal finding and indicates that the thoracic region is free from pain or discomfort, which is expected in a healthy client.
C. Tenderness upon palpation is not normal and may suggest underlying issues such as inflammation, injury, or infection.
D. A thrill, which is a palpable vibration felt over a specific area, is not a normal finding in the thoracic region and may indicate turbulent blood flow or underlying pathology.

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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","E"]

Explanation

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Correct Answer is B

Explanation

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