A nurse is auscultating the breath sounds of a client who has asthma. When the client exhales, the nurse hears continuous high-pitched squeaking sounds. The nurse should document this as which of the following adventitious breath sounds?

Wheezes

Rhonchi

Crackles

Stridor

Answer and Explanation

The Correct Answer is A

A. Wheezes are high-pitched continuous sounds heard during exhalation, commonly associated with asthma due to narrowed airways.

B. Rhonchi are low-pitched sounds caused by airflow obstruction in the larger airways and typically clear with coughing.

C. Crackles (or rales) are high-pitched sounds heard during inhalation and are often associated with fluid in the lungs, such as in pneumonia or heart failure.

D. Stridor is a high-pitched sound heard during inspiration and is often indicative of upper airway obstruction.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. An abrasion is a superficial wound caused by scraping or rubbing and does not involve the full thickness of the skin.

B. A full-thickness wound with jagged edges and visible muscle tissue is a laceration. Lacerations are typically caused by trauma and result in irregular edges and deeper tissue damage.

C. A puncture wound is caused by a sharp object penetrating the skin, often with a small opening.

D. A contusion is a bruise caused by blunt force trauma that results in damage to underlying tissues but does not involve a break in the skin.

A. Health care providers overcharging for health care services B. Inflationary influences on the cost of health care C. Rising number of elderly clients requiring complex medical and pharmacological care D. Increasing numbers of indigent clients without health insurance

Correct Answer is C

Explanation

A. While some providers may charge high fees, overcharging is not the primary factor contributing to the overall increase in health care spending.

B. Inflation does affect the cost of health care, but the primary driver is the aging population and the increased demand for services.

C. The aging population requires more complex and long-term care, including multiple medications, which significantly contributes to the rise in health care spending.

D. While the uninsured population is growing, the rise in health care spending is more closely tied to the increased needs of the elderly population.

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A nurse is auscultating the breath sounds of a client who has asthma. When the client exhales, the nurse hears continuous high-pitched squeaking sounds. The nurse should document this as which of the following adventitious breath sounds?

Nursing Test Bank

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A nurse is teaching a new group of assistive personnel (AP) about the importance of hand hygiene. Which of the following statements should the nurse include?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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