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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Technician: Technicians generally perform specific tasks or tests rather than collecting comprehensive subjective data.

B. Secretary: A secretary's role is administrative and does not involve direct patient assessment or data collection.

C. Nurse: Nurses are typically responsible for collecting subjective data from clients during the initial comprehensive assessment, including patient history and current health concerns.

D. Physician: While physicians review and interpret data, they often rely on nurses to collect detailed subjective information during initial assessments.

A. Tactile fremitus B. Chest expansion C. Breath sounds D. Tissue consolidation

Correct Answer is B

Explanation

A. Tactile fremitus: This involves palpating vibrations on the chest wall as the patient speaks, not assessing chest expansion.

B. Chest expansion: This technique assesses the symmetrical movement of the chest during inhalation and exhalation, which is the correct assessment for this context.

C. Breath sounds: Breath sounds are assessed through auscultation rather than palpation.

D. Tissue consolidation: This involves detecting areas of increased density in lung tissue, often assessed through percussion or auscultation, not through the technique shown for chest expansion.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which individual typically would be responsible for collecting the subjective data on a client during the initial comprehensive assessment?

Correct Answer is C

Explanation

The nurse is performing the technique shown. What is the nurse assessing?

Correct Answer is B

Explanation

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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?

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