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
Explanation
A. Ulcer refers to a wound with a loss of epidermis and dermis, often irregular and deeper, potentially bleeding.
B. Erosion involves a shallow loss of the epidermis only, not extending into the dermis.
C. Nodule is a solid, raised lesion that is typically firm and not ulcerated.
D. Cyst is a sac-like structure containing fluid or semi-solid material, not a wound with loss of tissue.
Correct Answer is ["A","B","C","D","E"]
Explanation
A change in the size of a mole is a significant red flag and should be concerning for potential skin cancer, particularly melanoma. A mole that enlarges over time, especially if it changes size rapidly, can indicate the development of malignant melanoma.
Color changes in a mole, such as darkening, lightening, or developing multiple colors, should raise concern for melanoma. Melanomas often present with uneven pigmentation, where the mole may become more than one color, such as black, blue, red, or brown. This change in color is abnormal and requires further investigation.
Itching and burning are abnormal symptoms associated with skin lesions and can be indicative of skin cancer. These sensations can occur when the skin becomes irritated or inflamed due to a growing malignancy such as melanoma.
Bleeding from a mole is a red flag and is concerning for skin cancer, especially melanoma. A mole that bleeds or oozes may be ulcerating or eroding, which are signs of more advanced skin cancer.
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