A nurse is auscultating the lungs of a client who has pleurisy. Which of the following adventitious breath sounds should the nurse expect to hear?

Popping sounds

Loud, gating sounds

Snoring sounds

Squeaky, musical sounds

Answer and Explanation

The Correct Answer is B

A. Popping sounds, also known as crackles, are typically associated with fluid in the alveoli, often seen in conditions like pneumonia or heart failure, not pleurisy.

B. Loud, grating sounds, known as pleural friction rub, are characteristic of pleurisy. This sound is produced by the inflamed pleural surfaces rubbing together during respiration.

C. Snoring sounds, or rhonchi, are usually heard in conditions involving airway obstruction by mucus, such as bronchitis, rather than pleurisy.

D. Squeaky, musical sounds, or wheezing, are associated with airway narrowing, such as in asthma or chronic obstructive pulmonary disease (COPD), and are not typically heard in pleurisy.

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Correct Answer is ["A","B","C","E"]

Explanation

A. A decreased level of consciousness is a common symptom of ARF due to hypoxemia, which reduces oxygen delivery to the brain, leading to confusion, agitation, or lethargy.

B. Hypercarbia, or elevated levels of carbon dioxide (CO2) in the blood, occurs due to impaired gas exchange in ARF, which leads to respiratory acidosis.

C. Severe dyspnea, or difficulty breathing, is a hallmark symptom of ARF as the lungs fail to maintain adequate oxygenation or ventilation.

D. Nausea is not a typical manifestation of ARF; while it may occur due to other factors, it is not directly associated with respiratory failure.

E. Tachycardia, or an increased heart rate, is often seen in ARF as the body attempts to compensate for hypoxemia by increasing cardiac output to deliver more oxygen to tissues.

A. "I’ll soak my feet in cool water every night before I go to bed." B. "I’ll put lotion between my toes after drying my feet." C. "I’ll check my feet every day for sores a bruises." D. "I’ll wear sandals in warm weather."

Correct Answer is C

Explanation

A. Soaking the feet is not recommended for clients with diabetes, as it can lead to skin breakdown and increase the risk of infection.

B. While applying lotion to the feet is recommended to keep the skin moisturized, lotion should not be applied between the toes, as this can create a moist environment that promotes fungal infections.

C. Checking the feet daily for sores, bruises, and other injuries is crucial for clients with diabetes to prevent complications like infections and ulcers, which can lead to serious outcomes like amputations if not treated promptly.

D. Wearing sandals exposes the feet to potential injuries and is not recommended for clients with diabetes. It is better to wear well-fitting, closed-toe shoes that provide protection.

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A nurse is auscultating the lungs of a client who has pleurisy. Which of the following adventitious breath sounds should the nurse expect to hear?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","B","C","E"]

Explanation

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Correct Answer is C

Explanation

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