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 B
Explanation
Choice A reason: Garlic, ginger, and ginkgo biloba do not typically increase the effects of antidepressant medications. Instead, they may interact with other medications and alter their effectiveness.
Choice B reason: Garlic, ginger, and ginkgo biloba are known to have blood thinning properties, which means they can increase the effects of oral anticoagulants, potentially leading to an increased risk of bleeding.
Choice C reason: There is no widespread evidence to suggest that garlic, ginger, and ginkgo biloba decrease the effects of antianxiety medications. However, they may interact with other medications and should be used cautiously.
Choice D reason: While garlic has been noted for its potential to lower blood pressure, it is not commonly associated with a decrease in the effects of antihypertensive medications. In fact, it may enhance their blood pressure lowering effects.
Correct Answer is D
Explanation
Choice A reason: Maple syrup, while a source of energy, is not rich in iron or vitamins that can significantly contribute to increasing hemoglobin levels.
Choice B reason: Carrots are a good source of beta-carotene and fiber but are not particularly high in iron, which is necessary for increasing hemoglobin levels.
Choice C reason: Orange juice is rich in vitamin C, which can enhance iron absorption, but on its own, it does not contribute significantly to hemoglobin levels.
Choice D reason: Raisins are a good source of iron and can help increase hemoglobin levels. They are also convenient as a snack and can be easily incorporated into the diet.
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