A nurse is auscultating for crackles on a client who has pneumonia. Which of the following anterior chest wall locations should the nurse auscultate? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

Answer and Explanation

The Correct Answer is "{\"xRanges\":[132,167],\"yRanges\":[113.5,148.5]}"

A.   This area corresponds to the trachea which produces bronchial breath sounds which are inconsistent with lower airway disease as expected in pneumonia.
B.   This area corresponds to the right upper lung lobe which is accurate for auscultation for abnormal breath sounds such as crackles.
C.   This area corresponds to the right upper quadrant for auscultation for bowel sounds.
D.   This area corresponds to the cardiac region which is more accurate for auscultation of heart sounds.

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Correct Answer is C

Explanation

A. Fidelity refers to being loyal, faithful, and keeping promises, which does not directly apply to this situation.
B. Autonomy refers to respecting a person's right to make their own decisions, which is not the focus here.
C. Beneficence refers to promoting the well-being of others, and in this situation, the nurse is demonstrating care by providing comfort to the grieving client.
D. Veracity refers to telling the truth, which is not the focus of the nurse's actions in this case.

A. The nurse should use a filter needle to withdraw the medication. B. The nurse should break the neck of the ampule toward their body. C. The nurse should dispose of the ampule in the trash can. D. The nurse should use the same needle to draw up and inject the client.

Correct Answer is A

Explanation

A. A filter needle should be used to withdraw the medication from a glass ampule to prevent glass particles from entering the syringe.
B. The neck of the ampule should be broken away from the body to avoid injury.
C. The ampule should be disposed of in a puncture-proof container, not in the trash.
D. A different needle should be used for injection after the medication is drawn up to ensure it is sterile.

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A nurse is auscultating for crackles on a client who has pneumonia. Which of the following anterior chest wall locations should the nurse auscultate? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

Nursing Test Bank

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