While assessing breath sounds, a nurse hears crackles. What causes these lung sounds?

Moisture in air passages

Narrowed small air passages

Normal air passing through the airways

Narrowing of the upper airway

Answer and Explanation

The Correct Answer is A

The correct answer is choice A, moisture in air passages. Crackles, also known as rales, are abnormal lung sounds that can indicate a buildup of fluid in the lungs. The moisture in the air passages causes the sound of air moving through fluid or mucus, leading to a crackling sound. Crackles can be heard in conditions such as pneumonia, heart failure, and pulmonary fibrosis.

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Correct Answer is ["C","E"]

Explanation

The nursing actions that best represent the step of performing interventions in the nursing process are:

C. The nurse ambulates a post-operative patient in the hall during their shift.

E. The nurse turns a patient every 2 hours to prevent pressure injuries.

Explanation: In the step of performing interventions, the nurse takes action to implement the nursing care plan and achieve the identified goals. The interventions should be specific, measurable, and realistic to address the patient's needs. Ambulating a post-operative patient in the hall during their shift and turning a patient every 2 hours to prevent pressure injuries are both specific interventions that address patient needs and promote positive health outcomes. Removing bandages from a burn victim's arm and performing sterile dressing change once a shift is more related to the step of assessment or implementation, while identifying a patient's priority health problem or assessing a patient's nutritional status are more related to the step of analysis and diagnosis in the nursing process.

A. "I will need hospice care if I want my symptoms controlled across the span of my illness." B. "Palliative care is best for those with less than 6 months to live." C. "I will need palliative care to assist with treating my symptoms so that I can have quality of life across the span of my illness." D. "The goal of hospice care would be to assist in prolonging my life." E. "The goal of hospice care would be to assist in prolonging my life."

Correct Answer is C

Explanation

The correct answer is choice C. "I will need palliative care to assist with treating my symptoms so that I can have quality of life across the span of my illness." Palliative care aims to improve the quality of life of patients and their families facing life-threatening illnesses. The goal of palliative care is to provide symptom management, pain relief, and support to patients and families throughout the course of their illness. Hospice care is a type of palliative care for patients with a life expectancy of six months or less, where the focus of care is comfort rather than curative treatment.

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While assessing breath sounds, a nurse hears crackles. What causes these lung sounds?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is taking action and performing interventions in the nursing process to provide care for patients in a busy hospital setting. Which nursing actions best represent this step in the nursing process? Select all that apply.

Correct Answer is ["C","E"]

Explanation

While caring for a female patient with advanced multiple sclerosis, the nurse is discussing the difference between hospice and palliative care. Which statement by the patient indicates understanding of the difference between hospice care and palliative care?

Correct Answer is C

Explanation

A nurse asks a client the current level of pain using a scale of 0 to 10 after administering pain medications 30 minutes ago. Which of the following steps of the nursing process is the nurse performing?

Which of the following scenarios would represent proper delegation as applies to delegating care to the right professional?

A student nurse is performing a urinary catheterization for the first time and inadvertently contaminates the catheter by touching the bed linens. What should the nurse do to maintain surgical asepsis for this procedure?

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The nurse is planning to care for a client with an indwelling catheter. Which of the following measures should the nurse implement when performing hygiene care in regards to the indwelling catheter?

A new nurse understands that documentation guidelines are important to ensure accuracy. The nurse would perform which of the following documentation guidelines? Select all that apply.

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