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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Free Nursing Study Resources

Correct Answer is ["B","C","D"]

Explanation

A) Cleanse the mask or collar with soapy water every other day. The mask or collar should be cleansed at least once daily to prevent bacterial growth and maintain hygiene.
B) Post "no smoking" warning signs at home in a prominent location. This is essential to reduce the risk of fire hazards associated with oxygen therapy.
C) Make sure the straps on the mask are secure but not too tight. Properly adjusted straps ensure a secure fit without causing skin breakdown or discomfort.
D) Check the tops of his ears regularly for skin breakdown. Prolonged use of oxygen masks can cause pressure injuries on the ears, making regular checks necessary.
E) Apply petroleum jelly around and inside the nares. Petroleum-based products are flammable and should be avoided. Water-based moisturizers are safer alternatives.

A. Loop the client's tubes carefully to prevent kinking. B. Clamp the tube when the client is ambulating. C. Place the client flat to avoid leaks in the tubing. D. Keep the collection device below the client's chest level.

Correct Answer is D

Explanation

A. Loop the client's tubes carefully to prevent kinking: Tubes should not be unnecessarily looped, as this may cause obstruction or tension.
B. Clamp the tube when the client is ambulating: Clamping increases the risk of tension pneumothorax and should be avoided unless prescribed for specific procedures.
C. Place the client flat to avoid leaks in the tubing: This position may compromise lung expansion; semi-Fowler’s or Fowler’s position is preferred.
D. Keep the collection device below the client’s chest level: This position uses gravity to prevent backflow of fluid or air into the pleural space.

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

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Naxlex Comprehensive Predictor Exams

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.)

Correct Answer is ["B","C","D"]

Explanation

A nurse is assisting with the care of a client who has a newly inserted chest tube. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

Your patient is breathing shallowly and seems irritable and restless. A nursing action that might help is to have him:

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

A patient who will begin oxygen therapy has a history of sinus disorders. This patient would benefit most from which oxygen setup?

The nurse caring for a patient with a disposable chest drainage system can promote effective tube function and patient safety by:

The nurse clarifies that the condition in which there is a decreased amount of oxygen in the blood is:

A nurse is caring for a client who is having difficulty breathing. The client is lying in bed and is already receiving oxygen therapy via nasal cannula. Which of the following interventions is the nurse's priority?

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 caring for a client who has a tracheostomy. Which of the following actions should the nurse take?