A nurse is assessing a client who has pneumonia. Which of the following manifestations should the nurse expect?
Crackles.
Crepitus.
Stridor.
Decreased fremitus.
The Correct Answer is A
Choice A rationale:
Crackles are adventitious lung sounds that can be heard on auscultation and are commonly associated with pneumonia. They are caused by the movement of air through fluid-filled or collapsed alveoli, indicating inflammation and infection in the lungs.
Choice B rationale:
Crepitus is a different respiratory finding and is not typically associated with pneumonia. Crepitus is a crackling or grating sensation that can be felt under the skin, often caused by subcutaneous emphysema or gas trapped in the tissues, not within the lungs.
Choice C rationale:
Stridor is a harsh, high-pitched sound heard during inspiration and is usually indicative of upper airway obstruction, not pneumonia. It can be caused by conditions such as croup or anaphylaxis.
Choice D rationale:
Decreased fremitus is not a specific manifestation of pneumonia. Fremitus is the vibration felt when the patient speaks and is transmitted through the chest wall. In pneumonia, increased fremitus may be observed due to the consolidation of lung tissue with fluid or pus, not decreased fremitus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Wearing gloves when changing the cat's litter box is essential during chemotherapy because some chemotherapy drugs can be excreted in bodily fluids, including feces. Protecting against direct contact with potentially harmful substances is crucial to minimize exposure risks.
Choice B rationale:
Taking the temperature once each week is not a relevant precaution during chemotherapy. Monitoring temperature is important, but it should be done more frequently, such as daily, as chemotherapy can cause immunosuppression, increasing the risk of infection.
Choice C rationale:
Being able to attend a concert is not related to precautions during chemotherapy. It is essential for clients undergoing chemotherapy to avoid large gatherings and events where they might be exposed to infections.
Choice D rationale:
Allowing the toothbrush to dry completely between each use is a good hygiene practice but not specifically related to chemotherapy precautions. Proper oral hygiene is essential during chemotherapy, but using a soft toothbrush and regularly replacing it are more relevant considerations.
Correct Answer is C
Explanation
Choice A rationale:
Increasing the intake of high-fiber foods is not relevant to addressing the client's dry mouth caused by benztropine. High-fiber foods are commonly recommended for managing constipation, a symptom often associated with Parkinson's disease, but it does not address the issue of dry mouth.
Choice B rationale:
Chewing sugarless gum can stimulate saliva production and help alleviate dry mouth. However, it is not the most appropriate recommendation for a client taking benztropine, as gum-chewing may interfere with the effectiveness of the medication or exacerbate other symptoms.
Choice C rationale:
Moistening the mouth with lemon-glycerin swabs is the most suitable recommendation for a client experiencing dry mouth due to benztropine. Lemon-glycerin swabs can help increase saliva production and provide relief from the discomfort of dry mouth without interfering with the medication's efficacy.
Choice D rationale:
Rinsing the mouth with nystatin is used to treat fungal infections in the mouth (oral thrush) and is not relevant to address the side effect of dry mouth caused by benztropine.
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