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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Correct Answer is D

Explanation

A. Quaternary prevention focuses on preventing over-medicalization or unnecessary interventions in health care.

B. Tertiary prevention aims to reduce the impact of an already established disease, such as rehabilitation.

C. Secondary prevention focuses on early detection of disease to prevent progression, such as through screenings.

D. Primary prevention aims to prevent the onset of disease or injury before it occurs. Immunizations and water fluoridation are both measures that help prevent disease in the general population before it starts.

A. Administration for Children and Families B. Centers for Medicare and Medicaid Services C. Social Security Administration D. Health Resources and Services Administration

Correct Answer is B

Explanation

A. The Administration for Children and Families primarily handles welfare and family support programs, not HIPAA administrative provisions.

B. The Centers for Medicare and Medicaid Services (CMS) is responsible for implementing and administering many aspects of HIPAA related to health care providers, insurers, and payment systems.

C. The Social Security Administration manages social security programs but does not handle HIPAA administrative provisions.

D. The Health Resources and Services Administration is focused on improving access to health care for underserved populations, not directly responsible for HIPAA administration.

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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

Naxlex Comprehensive Predictor Exams

Preventive measures such as immunizations and water fluoridation are examples of which type of prevention?

Correct Answer is D

Explanation

Which division of the United States Department of Health and Human Services is primarily responsible for the administrative provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA)?

Correct Answer is B

Explanation

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