The nurse is preparing to auscultate the breath sounds of a client for an asthma exacerbation. Which breath sounds does the nurse anticipate to find upon assessment?

High pitch continuous sounds on inspiration and expiration.

High pitched short crackling

Low pitch continuous rattling on inspiration and expiration.

Low pitched grating and rubbing on inhalation and exhalation.

Answer and Explanation

The Correct Answer is A

A.   This option describes wheezes, which are high-pitched continuous sounds often heard on both inspiration and expiration. Wheezes are commonly associated with asthma because they result from the narrowing of the airways, causing turbulent airflow.
B.   This description refers to crackles (or rales), which are short, high-pitched sounds often heard on inspiration. Crackles are typically associated with conditions such as pneumonia, congestive heart failure, or other forms of pulmonary edema. They are not as specific to asthma as wheezes are.
C.   This option describes rhonchi, which are low-pitched, continuous rattling sounds that may occur on both inspiration and expiration. Rhonchi are often associated with airway obstruction due to secretions or mucus and can be heard in conditions such as chronic bronchitis.
D.   This option describes pleural friction rubs, which are low-pitched, grating sounds heard during both inhalation and exhalation. Pleural friction rubs occur when the pleural layers become inflamed and rub against each other.

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Correct Answer is B

Explanation

A. Often referred to as "pigeon chest," pectus carinatum is a condition where the chest protrudes outward. This deformity makes the chest appear to bulge forward, giving it a distinctive "pigeon-like" appearance.
B. Barrel chest is characterized by an increased anteroposterior (AP) diameter of the chest, giving it a rounded, barrel-like appearance. This can occur due to conditions such as chronic obstructive pulmonary disease (COPD) or emphysema.
C. Scoliosis is a lateral curvature of the spine, which can cause a noticeable asymmetry in the rib cage and back. It often presents as a side-to-side curve in the spine, which can lead to an uneven shoulder height and a visibly curved back when viewed from the side.
D. Known as "funnel chest," pectus excavatum is a condition where the breastbone (sternum) is sunken into the chest. This causes a noticeable depression in the middle of the chest and may appear as a concave or hollowed area.

A. Obtaining information about the client's respirations B. Auscultating lung sounds C. Assessing the strength of peripheral pulses D. Obtaining the client's temperature E. Performing a musculoskeletal and neurological examination F. Asking the client about a family history of any illness or disease

Correct Answer is ["A","B","D"]

Explanation

A. Assessing the client’s respirations is crucial in evaluating their respiratory status. This includes
checking the rate, rhythm, depth, and effort of breathing. Given the client’s symptoms of cough and lung congestion, it's important to assess whether there are any signs of respiratory distress or abnormal breathing patterns.
B. Auscultating lung sounds is essential to identify any abnormal lung sounds such as wheezes, crackles, or rhonchi. This helps in evaluating the presence and severity of lung congestion and can provide insights into the underlying cause of the client's symptoms.
C. While assessing peripheral pulses is important in a comprehensive cardiovascular assessment, it is not directly related to evaluating symptoms of a cold, cough, or lung congestion. The focus of the assessment for these specific symptoms would be more on the respiratory system.
D. Checking the client’s temperature is important because a fever may indicate an infection or inflammation, which can be associated with the symptoms of a cold or lung congestion. This helps in assessing the overall systemic response to the infection.
E. A musculoskeletal and neurological examination is not directly relevant to assessing symptoms related to a cold, cough, or lung congestion. These exams are more appropriate for evaluating physical function and neurological status, which are not the primary concerns in this scenario.
F. While family history can provide valuable context for some conditions, it is not the immediate focus for evaluating current symptoms like a cold, cough, or lung congestion. The priority should be on the present symptoms and their immediate effects on the client’s health.

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The nurse is preparing to auscultate the breath sounds of a client for an asthma exacerbation. Which breath sounds does the nurse anticipate to find upon assessment?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is ["A","B","D"]

Explanation

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