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 ["B","C","D"]
Explanation
A. "Are you able to feed yourself?": This question relates to basic activities of daily living (ADLs), not instrumental activities of daily living (IADLs).
B. "Do you do your own laundry?": This question assesses the ability to perform IADLs, which include tasks like laundry, managing household chores, and other tasks beyond basic self-care.
C. "Do you shop for groceries?": This question evaluates the client’s ability to perform IADLs, such as shopping for groceries.
D. "Do you manage your own money?": This question is also relevant for assessing IADLs, which include financial management.
Correct Answer is C
Explanation
A. Ectropion: This condition involves the eyelid turning outward, not drooping.
B. Presbyopia: This is age-related loss of near vision, not related to eyelid position.
C. Ptosis: Ptosis refers to drooping of the upper eyelid, which is the correct term for the described finding.
D. Entropion: This condition involves the eyelid turning inward, not drooping.
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