During auscultation, the nurse hears fine rales in the patient's lower lobes bilaterally. Fine rales are described as

A sonorous wheeze upon inspiration.

Musical or whistling sounds with respirations.

Noisy, snoring sounds during respirations.

Sounding like hair being rubbed between the thumb and index fingers.

Answer and Explanation

The Correct Answer is D

A: Sonorous wheezes are low-pitched sounds and do not describe fine rales.

B: Musical or whistling sounds typically describe wheezes which are continuous and not the discontinuous sound of rales.
C: Noisy, snoring sounds are characteristic of rhonchi, not rales.

D: Fine rales are high-pitched, brief, and discontinuous crackling sounds that are often likened to the sound of hair being rubbed between fingers, indicative of fluid in the small airways.

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Correct Answer is A

Explanation

A: Applying pressure over a bony prominence helps assess for pitting edema, a common indicator of fluid retention causing swelling. This action provides objective data to confirm the patient's subjective observation.
B: Percussion is not typically used to assess edema. It is more suitable for assessing the density of underlying structures.
C: Elevating the feet may help alleviate swelling but does not confirm the presence of edema.
D: Documenting the observation is important, but further assessment is needed to confirm the patient's concern.

A. Carotid pulse B. Brachial pulse C. Posterior tibialis D. Femoral pulse

Correct Answer is C

Explanation

A: This is not suitable for assessing circulation issues specifically in the lower extremities as it is located on the upper body.

B: This is not suitable for assessing circulation issues specifically in the lower extremities as it is located on the upper body.
C: Palpating the posterior tibialis pulse is a logical next step for checking lower extremity circulation, particularly when dorsalis pedis is not palpable, helping localize the evaluation of blood flow in the foot and ankle.
D: The femoral pulse is useful for broader leg circulation issues. However, it is less targeted than posterior tibialis for checking blood flow in the lower extremities.

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During auscultation, the nurse hears fine rales in the patient's lower lobes bilaterally. Fine rales are described as

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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