The nurse percusses a client with COPD and expects to hear:
Tympany
Hyperresonance
Resonance
Dullness
The Correct Answer is B
A. Tympany is a high-pitched sound typically heard over a hollow organ such as the stomach.
B. Hyperresonance is often heard in patients with COPD, as the lungs are hyperinflated, leading to an increased resonance when percussed.
C. Resonance is normal and would be heard in healthy, air-filled lungs.
D. Dullness would suggest a solid or fluid-filled area, which is not typical of COPD unless there is a complication like pleural effusion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
A. Resonance is a normal percussion sound heard over healthy lung tissue.
B. Tactile fremitus refers to the palpable vibration felt when a patient speaks and is normal in areas of healthy lung tissue.
C. Bronchovesicular sounds are normal breath sounds heard over the mainstem bronchi and are considered normal.
D. Rhonchi are adventitious sounds (abnormal) heard in conditions like bronchitis and would not be considered normal.
E. Crackles are also abnormal breath sounds often heard in conditions such as pneumonia or heart failure.
Correct Answer is A
Explanation
A. Tachycardia is a common sign of hyperthyroidism, as elevated thyroid hormones increase heart rate and metabolic rate.
B. Dyspnea is not typically associated with hyperthyroidism; more commonly, hyperthyroid patients experience tachypnea (increased rate of breathing), but not necessarily dyspnea.
C. Constipation is more commonly associated with hypothyroidism, where metabolic slowing occurs.
D. Atrophied nodular thyroid gland is not typical of hyperthyroidism; a goiter (enlarged thyroid) is more commonly seen.
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