A senior patient is being admitted due to lobar pneumonia to the med-surgical floor. When auscultating, the nurse would expect to listen to which of the following adventitious breath sounds?
Wheezes
Rhonchi
Coarse crackles (rales)
No sound
The Correct Answer is C
A. Wheezes: Wheezes are high-pitched sounds usually associated with airway constriction, such as in asthma, not specifically lobar pneumonia.
B. Rhonchi: Rhonchi are low-pitched, snoring sounds associated with secretions in the airways and may be present in pneumonia but are not the most characteristic finding.
C. Coarse crackles (rales): Coarse crackles or rales are bubbling, crackling sounds heard when air moves through fluid in the airways, which is typical in pneumonia due to the presence of alveolar fluid.
D. No sound: Absence of sound is not expected in pneumonia; adventitious sounds like crackles are usually present.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Pulses: The finger pads are particularly effective for detecting the presence, strength, and regularity of pulses due to their sensitivity and the ability to apply gentle pressure.
B. Vibrations: Vibrations are best assessed with the ulnar surface of the hand rather than the finger pads.
C. Fremitus: Fremitus, or the vibrations transmitted through the chest wall, is best assessed using the palmar or ulnar surface of the hand.
D. Temperature: Temperature is more effectively assessed using the back of the hand, not the finger pads.
Correct Answer is C
Explanation
A. Subjective: Subjective data refers to information reported by the patient directly, which is not applicable in this case since the client cannot communicate.
B. Tertiary: This term is not commonly used in the context of data sources in health assessments.
C. Secondary: Secondary data is information provided by someone other than the patient, such as a family member or caregiver, which is applicable here since the daughter is providing the information.
D. Primary: Primary data is directly obtained from the patient, not from a secondary source like the daughter.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
