A nurse is assessing a client who has chronic bronchitis. Which of the following percussion sounds should the nurse expect?
Dullness
Tympany
Resonance
Flatness
The Correct Answer is C
Choice A reason: Dullness on percussion typically indicates increased lung density, such as in conditions where lung tissue is consolidated or fluid-filled. This sound is heard in cases of: Pneumonia (due to alveolar consolidation) Pleural effusion (fluid in the pleural space) Lung tumors (solid masses in lung tissue) Since chronic bronchitis is primarily an airway disease characterized by inflammation and mucus production rather than lung consolidation or fluid accumulation, dullness is not an expected finding..
Choice B reason: Tympany is usually heard over air-filled structures and is not a percussion sound typically associated with chronic bronchitis.
Choice C reason:
Resonance is the normal percussion sound heard over healthy lung fields, indicating air-filled alveoli. Since chronic bronchitis does not cause significant air trapping or lung consolidation, percussion remains resonant rather than hyperresonant (as in emphysema) or dull (as in pneumonia). Thus, resonance is the expected finding in chronic bronchitis because the lung parenchyma remains relatively unaffected despite the chronic airway inflammation.
Choice D reason: Flatness is heard over very dense tissue, such as muscle or bone, and is not characteristic of chronic bronchitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Weight bearing exercises, such as walking, jogging, and dancing, are beneficial for building and maintaining bone density. These activities force the body to work against gravity, stimulating bone formation and slowing bone loss.
Choice B reason: While bone density scans are useful for diagnosing osteoporosis, they are not typically used as a preventive measure but rather as a diagnostic tool to assess bone health.
Choice C reason: Drinking coffee in moderation is not directly related to preventing osteoporosis. Excessive caffeine intake can interfere with calcium absorption, but a single cup is unlikely to have a significant impact.
Choice D reason: Increasing sodium intake is not recommended as it can lead to calcium loss through urine, which is counterproductive for bone health.
Correct Answer is B
Explanation
Choice A reason: Avoiding driving in winter is not necessary unless it is a personal trigger for Raynaud's attacks. It's more important to keep warm and manage stress.
Choice B reason: Stress management classes can teach techniques to control stress, which is beneficial for clients with Raynaud's disease as stress can trigger episodes.
Choice C reason: Using nicotine gum to quit smoking is a positive step for overall health, but it is not directly related to the management of Raynaud's disease.
Choice D reason: Limiting coffee intake may help some individuals with Raynaud's disease, as caffeine can constrict blood vessels, but it is not a universal recommendation.
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