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 B

Explanation

A) In the morning immediately after breakfast. Performing postural drainage after eating may induce nausea and vomiting.
B) Shortly after the patient arises in the morning, before breakfast. This timing allows mucus to drain more effectively since the patient has been lying down overnight, and an empty stomach minimizes the risk of vomiting.
C) 30 minutes after lunch. Postural drainage should be performed at least 1 to 2 hours after meals to prevent gastrointestinal discomfort.
D) 1 hour after supper. While this timing is better than immediately after eating, morning sessions are generally more effective.

A. take a good nap B. turn, cough and deep breathe C. submit to a back rub D. take some pain medication

Correct Answer is C

Explanation

A. Take a good nap: While rest is important, shallow breathing and irritability may indicate inadequate ventilation, which won't improve solely with sleep.
B. Turn, cough, and deep breathe: This helps open the airways, promotes alveolar expansion, and clears secretions, which may improve oxygenation and reduce restlessness.
C. Submit to a back rub: Although comforting, it does not directly address shallow breathing or improve oxygenation.
D. Take some pain medication: Pain control can be essential, but this action is premature without assessing whether pain is the cause of shallow breathing.

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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

The nurse is aware that the best time to schedule a postural drainage treatment is

Correct Answer is B

Explanation

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

Correct Answer is C

Explanation

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?

What is the most common cause of airway obstruction in the unconscious person?

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The nurse instructing the patient to perform forceful exhalation coughing would instruct the patient to take in:

A nurse is reinforcing teaching with a client who has a prescription for home oxygen therapy. Which of the following instructions should the nurse include?

A nurse is reinforcing teaching with a client who is having difficulty using an incentive spirometer. Which of the following instructions should the nurse include in the teaching?

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

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