When auscultating the lungs of an adult client, the nurse notes that low-pitched, soft breath sounds are heard over the lower lobes. How would the nurse interpret these findings?

Normal sounds auscultated up against the sternum

Bronchovesicular sounds that are normal over that location

Bronchial sounds that are normal over that location

Normal sounds auscultated over the trachea

Vesicular breath sounds that are normal in that location

Answer and Explanation

The Correct Answer is E

A. Normal sounds against the sternum would not be low-pitched or soft; they would typically be more pronounced.
B. Bronchovesicular sounds are medium-pitched and are not expected in the lower lobes; they are usually heard in the central area.
C. Bronchial sounds are high-pitched and hollow, typically heard over the trachea, not in the lower lobes.
D. Normal sounds over the trachea would not be described as low-pitched or soft.
E. Vesicular breath sounds are soft, low-pitched, and normal over peripheral lung fields, including the lower lobes, making this the correct interpretation.

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Correct Answer is A

Explanation

A. Auscultate for any cardiac murmurs is correct, as a thrill often indicates turbulent blood flow, which may correlate with murmurs that can be heard upon auscultation.
B. Comparing apical and radial pulse rates is useful in assessing pulse deficits but does not directly address the cause of the thrill.
C. Palpating the quality of the peripheral pulses does not provide specific information about the thrill's origin.
D. Finding the point of maximal impulse is a useful cardiac assessment but does not directly explain the cause of the thrill.
E. Checking capillary refill time assesses peripheral perfusion but does not relate to the thrill's cause.

A. Decrease dietary protein B. Obtain flu vaccines C. Avoid overhydration D. Use handkerchiefs E. Limit daily activity

Correct Answer is B

Explanation

A. Decreasing dietary protein does not directly affect the spread of respiratory infections. Protein is important for maintaining immune function.
B. Obtaining flu vaccines is an effective way to reduce the spread of respiratory infections, especially among older adults who are at higher risk.
C. Overhydration is not related to infection control and is not necessary in this context.
D. While handkerchiefs may help with containing respiratory droplets, disposable tissues are generally more hygienic.
E. Limiting daily activity is unnecessary for preventing respiratory infections and could negatively impact overall health.

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When auscultating the lungs of an adult client, the nurse notes that low-pitched, soft breath sounds are heard over the lower lobes. How would the nurse interpret these findings?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

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