Which of the following is not considered an adventitious lung sound upon auscultation:

Pleural friction rub

Rhonchi

Stridor

Vesicular

Answer and Explanation

The Correct Answer is D

A. Pleural friction rub: An adventitious sound that occurs due to inflamed pleural surfaces rubbing against each other during respiration.
B. Rhonchi: A low-pitched, continuous adventitious lung sound typically caused by airway obstruction or secretions.
C. Stridor: A high-pitched adventitious sound caused by upper airway obstruction.
D. Vesicular: A normal breath sound heard over most of the lung fields, characterized by a soft, low-pitched rustling sound.

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Correct Answer is C

Explanation

A. The client is grasping his abdomen: Grasping the abdomen may indicate pain or cramping, not necessarily airway obstruction.
B. The client is coughing: Effective coughing suggests that the airway is partially open and the client is moving air, meaning abdominal thrusts are not required.
C. The client cannot speak: Inability to speak or cough is a sign of complete airway obstruction, indicating the need for abdominal thrusts.
D. The client is hyperventilating: Rapid breathing is not a typical sign of choking and does not warrant abdominal thrusts.

A. jaundiced B. febrile C. obese D. dark skinned

Correct Answer is A

Explanation

A. Jaundiced: The yellow discoloration of the skin can interfere with light absorption, affecting the accuracy of the reading.
B. Febrile: An elevated body temperature does not affect the pulse oximeter's accuracy.
C. Obese: Subcutaneous fat does not interfere with the device's light absorption or reading accuracy.
D. Dark-skinned: Higher melanin levels can affect the absorption of light, leading to less accurate readings.

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Which of the following is not considered an adventitious lung sound upon auscultation:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a long-term care facility sees a client who is choking. Which of the following data should the nurse identify as requiring an abdominal thrust?

Correct Answer is C

Explanation

The nurse takes into consideration that a pulse oximeter may not give an accurate reading if the patient is:

Correct Answer is A

Explanation

A provider is discharging a client with a prescription for home oxygen therapy. The nurse should reinforce which of the following instructions with the client and his family? (Select all that apply.)

The nurse would determine that this patient is aware of how to use the incentive spirometer device properly when the patient:

A nurse is caring for a client who has a three-chamber closed chest tube system. Which of the following should the nurse do after noticing a rise in the water seal with client inspiration?

A nurse is checking the suction control chamber of a client's chest tube and notes that there is no bubbling in the suction control chamber. Which of the following actions should the nurse take?

Which is a function of the respiratory system?

The nurse performing tracheostomy care will:

A nurse is reinforcing preoperative teaching for a client about coughing and deep breathing. Which of the following statements should the nurse make?

A patient requires suctioning via the nasotracheal route. In order to perform this procedure safely, the nurse should: