Adventitious breath sounds that have a whistling or sighing sound due to narrowing of the lumen of a respiratory passage are termed:
bruits
crackles
wheezing
Turgor
The Correct Answer is C
A. Bruits – Bruits are vascular sounds caused by turbulent blood flow, typically heard over arteries.
B. Crackles – Crackles (rales) are discontinuous, crackling breath sounds caused by fluid in the alveoli, often heard in pneumonia or heart failure.
C. Wheezing – Wheezing is a high-pitched, whistling sound heard during breathing, usually caused by narrowed airways due to asthma, bronchitis, or allergic reactions.
D. Turgor – Turgor refers to skin elasticity and is used to assess hydration status, not lung sounds.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Skin assessment. – While skin assessment is important, it is not the first step in a head-to-toe physical examination.
B. Neurological assessment. – The neurological assessment is performed first because it establishes baseline cognitive function, level of consciousness, and cranial nerve responses, which are essential for assessing overall patient status.
C. Respiratory assessment. – The respiratory system is assessed after neurological status has been established.
D. Circulatory assessment. – While circulation is vital, it is typically evaluated after neurological and respiratory assessments.
Correct Answer is D
Explanation
A. Nursing assessment – A nursing assessment is the broader process of gathering patient information, including subjective and objective data, but does not specifically refer to a body system review.
B. Nursing interview – A nursing interview is a method used to gather subjective data from the patient, but it does not systematically review all body systems.
C. Health history – A health history includes past medical conditions, surgeries, and family history but does not systematically assess all body systems.
D. Review of systems – The review of systems (ROS) is a structured approach where the nurse systematically collects data about normal function and any changes in each body system.
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