During a respiratory assessment, which of the following findings is most indicative of a pneumothorax?
Stridor on inspiration
Wheezing on expiration
Absent breath sounds on one side
Crackles on inspiration
The Correct Answer is C
Rationale:
A. Stridor indicates upper airway obstruction, not a pneumothorax.
B. Wheezing suggests narrowed airways, commonly seen in asthma or COPD, not pneumothorax.
C. Absent breath sounds on one side are a hallmark finding of pneumothorax because air in the pleural space prevents lung expansion and sound transmission.
D. Crackles are associated with fluid in the alveoli, such as in pneumonia or heart failure, not pneumothorax.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Encouraging the client to drink 2 to 3 L of water daily helps thin tenacious secretions, making them easier to expectorate and improving airway clearance.
B. Maintaining a semi-Fowler's position promotes lung expansion and ease of breathing but does not directly thin secretions.
C. A low-salt diet may help manage fluid retention in some conditions but does not affect mucus viscosity in COPD.
D. Administering oxygen improves oxygenation but does not address the issue of thick bronchial secretions.
Correct Answer is D
Explanation
Rationale:
A. Ambulation helps with lung expansion but does not directly thin secretions.
B. Incentive spirometer use improves ventilation and prevents atelectasis but does not specifically thin secretions.
C. Coughing and deep breathing help mobilize secretions once loosened, but they do not thin them.
D. Increasing fluid intake hydrates the respiratory tract and helps thin secretions, making them easier to expectorate — this is the most effective action.
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