Which adventitious breath sound would a nurse expect to auscultate in a child admitted with an asthma exacerbation?
Expiratory wheezing.
Inspiratory crackle.
Expiratory grunting.
Inspiratory stridor.
The Correct Answer is A
Choice A rationale:
Expiratory wheezing is characteristic of asthma exacerbation. It indicates airway constriction and narrowing, leading to difficulty in exhaling and resulting in a high-pitched sound during expiration.
Choice B rationale:
Inspiratory crackle is not typically associated with asthma. Crackles are often heard in conditions involving fluid-filled airways, such as pneumonia.
Choice C rationale:
Expiratory grunting is not a common finding in asthma. Grunting sounds may be present in infants with respiratory distress, indicating the difficulty they experience while exhaling.
Choice D rationale:
Inspiratory stridor is not a usual manifestation of asthma. Stridor is more commonly related to upper airway obstruction, often seen in croup or epiglottitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
If the pancreatic enzymes are effectively aiding in digestion for a patient with cystic fibrosis, the expected outcome would be improved absorption of nutrients and fats. This would result in normal stool consistency and color. Cystic fibrosis often impairs the pancreas' ability to produce sufficient digestive enzymes, leading to malabsorption and fatty stools. Therefore, observing normal stool consistency indicates that the enzymes are working adequately.
Choice B rationale:
The color of the patient's sclerae (the white part of the eyes) is not directly related to the effectiveness of pancreatic enzymes in cystic fibrosis. Scleral color can be affected by various factors such as jaundice, liver function, and blood disorders.
Choice C rationale:
Moist buccal mucosa (inner lining of the mouth) is not a specific indicator of the effectiveness of pancreatic enzymes. This observation could be influenced by hydration status and overall oral care.
Choice D rationale:
Glucose presence in urine is more related to diabetes management rather than the effects of pancreatic enzymes in cystic fibrosis. The absence of glucose in urine does not provide information about the efficacy of these enzymes.
Correct Answer is D
Explanation
Choice A rationale:
High levels of structure will cause behavioral problems is incorrect. Structure and routine often provide a sense of security for children with autism and can help minimize behavioral challenges.
Choice B rationale:
Negative reinforcement works better than positive reinforcement is not accurate. Positive reinforcement is generally more effective in promoting desired behaviors in children with autism.
Choice C rationale:
Strict dietary modifications can sometimes cure autism is a misconception. While a balanced diet can positively impact overall health, there is no dietary cure for autism spectrum disorder.
Choice D rationale:
Level of functioning varies significantly among children with autism is crucial information for parents. Autism is a spectrum disorder, leading to a wide range of abilities and challenges. Tailoring interventions to the child's specific needs is important.
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