Which of the following findings is most commonly associated with pleural effusion during a respiratory assessment?
Wheezing heard on auscultation over the affected area
Dullness to percussion over the affected area
increased tactile fremitus over the affected area
Hyperresonance to percussion over the affected area
The Correct Answer is B
Rationale:
A. Wheezing is associated with airway obstruction (e.g., asthma or COPD), not pleural effusion.
B. Dullness to percussion is a classic finding in pleural effusion because fluid in the pleural space dampens the sound produced during percussion.
C. Increased tactile fremitus occurs with consolidation (e.g., pneumonia), whereas pleural effusion usually decreases fremitus due to fluid separating the lung tissue from the chest wall.
D. Hyperresonance is characteristic of conditions with excess air in the lungs, such as pneumothorax or emphysema, not pleural effusion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Acute abdominal pain is not a typical manifestation of pulmonary TB; it may occur with extrapulmonary TB affecting the abdomen, but it is not common.
B. Sudden onset of high fever and chills is more characteristic of acute bacterial infections, not the gradual onset of TB.
C. Severe headache and neck stiffness suggest meningitis, which could occur with TB meningitis, but this is less common than pulmonary TB.
D. Persistent cough lasting more than three weeks is a classic symptom of active pulmonary TB, often accompanied by sputum production, hemoptysis, fatigue, and low-grade fever.
Correct Answer is D
Explanation
Rationale:
A. Ambulation helps with lung expansion but does not directly thin secretions.
B. Incentive spirometer use improves ventilation and prevents atelectasis but does not specifically thin secretions.
C. Coughing and deep breathing help mobilize secretions once loosened, but they do not thin them.
D. Increasing fluid intake hydrates the respiratory tract and helps thin secretions, making them easier to expectorate — this is the most effective action.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.