A client with a history of COPD is being assessed. When the nurse percusses the client's chest, which characteristic sound is expected?

Tympany

Hyperresonance

Resonance

Dullness

Answer and Explanation

The Correct Answer is B

Choice a reason:
Tympany is a drum-like, resonant sound that is typically heard over air-filled structures, such as the gastric bubble, not the chest. It is not a sound associated with the lungs, especially in the context of COPD.

Choice b reason:
Hyperresonance is an abnormally loud, lower-pitched sound than normal resonance heard over hyperinflated areas of the lung, such as in cases of COPD. This is due to the increased air content within the lungs, often because of overdistension or destruction of alveolar tissue, as seen in emphysema, a common type of COPD.

Choice c reason:
Resonance is the normal sound heard over healthy lung tissue when percussed. However, in the case of COPD, particularly emphysema, the destruction of lung tissue leads to hyperinflation and thus a hyperresonant sound rather than the normal resonance.

Choice d reason:
Dullness is heard when fluid or solid tissue replaces air in the lung or occupies the pleural space, as in the case of pneumonia or pleural effusion. This is not characteristic of COPD, where there is an increase in air due to the breakdown of alveolar walls.

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Correct Answer is C

Explanation

Choice a reason:
Assisting the client to a sitting position is not the best action to ensure that bowel sounds can be heard. For abdominal auscultation, the patient should be lying down in a supine position to relax the abdominal muscles, which facilitates the hearing of bowel sounds.

Choice b reason:
Percussion of the abdomen before auscultation is not recommended as the best initial action. Percussion can stimulate bowel motility, which may alter the natural bowel sounds that the nurse is attempting to assess.

Choice c reason:
Reducing all environmental noise is the best action to ensure that bowel sounds can be heard clearly. Environmental noise can mask the subtle sounds of bowel motility, and minimizing distractions allows for a more accurate assessment of bowel activity.

Choice d reason:
Palpating the region before auscultating is not the best action because palpation can also stimulate bowel motility and potentially alter the bowel sounds. Auscultation should be performed before palpation during the abdominal examination to avoid this issue.

A. Overweight B. Obesity Class I C. Normal weight D. Obesity

Correct Answer is A

Explanation

Choice a reason:
A BMI of 27 falls into the 'Overweight' category according to the standard BMI classification. The 'Overweight' range is defined as a BMI of 25 to 29.9. This indicates that the person's weight is higher than what is considered healthy for a given height.

Choice b reason:
'Obesity Class I' is characterized by a BMI of 30 to 34.9. Since the client's BMI is 27, it does not reach the threshold for this category.

Choice c reason:
The 'Normal weight' category ranges from a BMI of 18.5 to 24.9. With a BMI of 27, the client exceeds the upper limit of the normal weight range.

Choice d reason:
The term 'Obesity' generally refers to a BMI of 30 or higher, which encompasses Obesity Class I, II, and III. Since the client's BMI is 27, it is below the obesity range.

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A client with a history of COPD is being assessed. When the nurse percusses the client's chest, which characteristic sound is expected?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse working in an outpatient GI clinic is conducting a physical examination of the abdomen. What is the nurse's best action to ensure she can hear bowel sounds?

Correct Answer is C

Explanation

Using the client's height of 72 inches and weight of 200 lbs, the nurse calculates the BMI. A BMI of 27 indicates which category for this patient?

Correct Answer is A

Explanation

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