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 D

Explanation

A. Neuropathic ulcers: These ulcers are usually associated with diabetic neuropathy and not primarily with changes in skin color upon elevation or dependency.

B. Venous insufficiency ulcers: These are more commonly associated with symptoms such as swelling, brown pigmentation, and ulcers typically around the ankles.

C. Deep vein thrombosis: DVT is characterized by swelling, redness, and warmth, not typically by changes in skin color with position changes.

D. Arterial insufficiency ulcers: The color changes (pale when elevated and dark red when dependent) are indicative of arterial insufficiency, which can lead to arterial ulcers due to poor blood flow.

A. Diverticulosis B. Nephrolithiasis C. Acute Cholecystitis D. Appendicitis

Correct Answer is C

Explanation

A. Diverticulosis: This condition involves the formation of pouches in the colon and is not associated with Murphy's sign.

B. Nephrolithiasis: This refers to kidney stones and is not associated with Murphy's sign.

C. Acute Cholecystitis: Murphy's sign is a clinical test for acute cholecystitis, which is inflammation of the gallbladder. It is positive when the patient experiences pain upon palpation of the gallbladder area during inhalation.

D. Appendicitis: Appendicitis is an inflammation of the appendix and is not related to Murphy's sign.

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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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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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