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
Explanation
A. Focused: A focused assessment targets specific concerns or symptoms rather than including a complete health history and physical examination.
B. Comprehensive: A comprehensive assessment includes both a detailed health history and a thorough physical assessment, providing a complete picture of the patient’s health.
C. Ongoing: Ongoing assessments are periodic evaluations to monitor changes or progress in a patient’s condition, not necessarily encompassing a full health history and physical examination.
D. Emergency: Emergency assessments are conducted quickly to address immediate life-threatening issues, not to gather a full health history or perform a comprehensive physical exam.
Correct Answer is C
Explanation
A. Gallops: Gallops are additional heart sounds heard with a stethoscope that are not related to the carotid artery.
B. Murmurs: Murmurs are abnormal heart sounds related to the heart valves and are typically heard over the precordium rather than the carotid artery.
C. Bruits: Bruits are abnormal, high-pitched swooshing sounds caused by turbulent blood flow in an artery, often indicative of arterial narrowing or blockages.
D. Normal findings: High-pitched swooshing sounds over the carotid artery are not normal and typically warrant further investigation for potential vascular issues.
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