The nurse hears short, rattling, high-pitched sounds in the lower lobes of a client with pneumonia. Which finding should the nurse document?

Stridor.

Pleural rub.

Wheezing.

Crackles.

Answer and Explanation

The Correct Answer is D

D. The short, rattling, high-pitched sounds heard in the lower lobes of the client with pneumonia are indicative of crackles. Crackles are abnormal respiratory sounds that occur when air moves through fluid or mucus in the small airways or alveoli.

A. Stridor refers to a high-pitched, wheezing sound that occurs during inspiration or expiration and is typically associated with upper airway obstruction, such as in conditions like croup or foreign body aspiration.

B. Pleural rub refers to a grating or rubbing sound heard on auscultation that occurs when inflamed pleural surfaces rub against each other during respiration. It is commonly heard in conditions such as pleurisy or pleural effusion.

C. Wheezing refers to a high-pitched, musical sound heard during expiration that is typically associated with narrowing or obstruction of the airways, as seen in conditions like asthma or chronic obstructive pulmonary disease (COPD).

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Correct Answer is D

Explanation

D. Given the client's history of vomiting, diarrhea, and difficulty tolerating oral fluids, there's a likelihood of dehydration. Dehydration typically results in an increase in urine specific gravity due to the kidneys conserving water.

A. (1.015) and B (1.025) are within the reference range and would be more typical values for adequately hydrated individuals.

C. (1.005) is at the lower end of the reference range and would not be expected in a dehydrated individual.

Correct Answer is ["10"]

Explanation

To calculate the volume in mL to administer, use the formula:

Volume(mL) = Prescribeddose(mg)/Availableconcentration(mg/mL)

Step 1: Convert the prescribed dose to milligrams
The prescribed dose is 5 grams.

Convert grams to milligrams:

5 grams × 1000 mg/gram = 5000 mg

Step 2: Divide by the concentration
The available concentration is 500 mg/mL.

Calculate the volume:

Volume(mL) = 5000 mg / 500 mg/mL = 10 mL

The nurse should administer 10 mL.

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The nurse hears short, rattling, high-pitched sounds in the lower lobes of a client with pneumonia. Which finding should the nurse document?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a client who reports a 3-day history of vomiting and diarrhea and experiencing difficulty in tolerating oral fluids. Which urine specific gravity value would the nurse expect to see on initial testing? Reference Range: Urine Specific Gravity [1.005 to 1.03]

Correct Answer is D

Explanation

The healthcare provider prescribes cefuroxime 5 grams every 8 hours IM for a client with pneumonia. The available vial is labeled, "Cefuroxime 500 mg/mL." How many mL should the nurse administer to this client? (Enter numerical value only. If rounding is required round to the nearest whole number.)

Correct Answer is ["10"]

Explanation

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