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.)
A
B
C
D
The Correct Answer is B
Correct choice is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. High-osmolarity formulas can cause gastrointestinal distress, but they do not directly increase the risk of aspiration.
B. A residual of 65 mL is a normal finding and does not increase the risk of aspiration.
C. Sitting in a high-Fowler's position helps reduce the risk of aspiration by allowing gravity to assist with digestion.
D. A history of gastroesophageal reflux disease (GERD) can increase the risk of aspiration because it may lead to reflux of gastric contents into the esophagus, which can be inhaled into the lungs.
Correct Answer is C
Explanation
A. Placing a yellow bracelet is a common practice for identifying clients at risk for falls and is not considered malpractice.
B. Administering potassium via IV bolus can be dangerous, but it is a matter of scope of practice and guidelines rather than malpractice unless done incorrectly.
C. Leaving a nasogastric tube clamped after administering oral medication is an example of malpractice as it could result in aspiration or improper medication absorption.
D. Documenting communication with a provider in the medical record is standard practice.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today