While ambulating the hall, the client begins to complain of shortness of breath and difficulty breathing. Which term should be documented in the client's medical record?

Tachypnea

Bradypnea

Eupnea

Dyspnea

Answer and Explanation

The Correct Answer is D

A.   Tachypnea refers to an increased respiratory rate. It is used when a client is breathing faster than normal. While tachypnea could be associated with difficulty breathing, it specifically denotes a faster- than-normal rate of breathing, not the sensation of breathlessness or difficulty.
B.   Bradypnea is the term used for a slower-than-normal respiratory rate. If a client’s breathing rate is slower than usual, bradypnea would be the appropriate term. However, this term does not describe the sensation of shortness of breath or difficulty breathing.
C.   Eupnea is the term for normal, unlabored breathing. This term is used when the client’s breathing is neither too fast nor too slow and is comfortable. It does not apply to the situation described, where the client is experiencing difficulty breathing.
D.   Dyspnea refers to the sensation of shortness of breath or difficulty breathing. It is the term used to describe the subjective experience of feeling like one cannot get enough air or is having trouble breathing.

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Correct Answer is B

Explanation

A. The inguinal nodes are located in the groin area. They are not typically assessed when evaluating breast lymph nodes. Instead, these nodes are relevant for assessing the lymphatic drainage of the lower extremities and pelvic region, not the breast.
B. The subclavicular nodes are located just below the clavicle (collarbone). These nodes are part of the lymphatic drainage system for the breast and are important to assess during a breast examination, especially in the context of breast cancer or other breast conditions. Palpating the subclavicular lymph nodes helps evaluate whether cancer has spread beyond the breast tissue.
C. The median lymphatic vessel is not a recognized term in standard lymphatic anatomy. Lymphatic vessels are not typically palpated; rather, lymph nodes are assessed. The median term might refer to the midline of the body but does not pertain to a specific lymph node group relevant to breast assessment.
D. The ulnar lymphatic vessels are related to the lymphatic drainage of the arm, specifically along the ulnar aspect (inner side) of the forearm. These are not relevant to the breast lymph nodes. Assessment of the breast involves checking nodes in the axillary, supraclavicular, and subclavicular regions, not the ulnar lymphatic vessels.

A. Bronchial breath sounds over a peripheral lung field B. Soft high-pitched expiratory wheezing with forced expiration. C. Absent breath sounds over one lung lobe D. Stridor

Correct Answer is D

Explanation

A. While abnormal bronchial breath sounds can indicate underlying pathology, they are not typically considered immediately life-threatening.
B. Wheezing is a common symptom of asthma and other conditions that cause airway narrowing. While it can be uncomfortable and distressing, it is not typically considered a life-threatening emergency.
C. Absent breath sounds can indicate a collapsed lung or other serious respiratory condition. However, it is not as immediately life-threatening as stridor, which indicates a severe airway obstruction.
D. Stridor is a high-pitched, wheezing sound caused by obstruction or narrowing of the upper airway (larynx or trachea). It is often associated with conditions like croup, epiglottitis, or an allergic reaction leading to airway swelling. Stridor indicates a significant obstruction in the upper airway that can rapidly lead to severe respiratory distress or compromise.

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While ambulating the hall, the client begins to complain of shortness of breath and difficulty breathing. Which term should be documented in the client's medical record?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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