A nurse is assessing the breath sounds of a newborn. Which sound is an expected finding for this developmental level?
Bruits
Crackles
Wheezing
Stridor
The Correct Answer is D
Stridor is a high-pitched, inspiratory sound that indicates partial obstruction of the upper airway. It is a common finding in newborns and can occur due to the presence of mucus, fluid, or a small airway that has not yet fully developed. It is important to note that while stridor is an expected finding in newborns, it should still be assessed and monitored closely by healthcare professionals.
Bruits are abnormal sounds heard over blood vessels and are not related to breath sounds. Crackles are a series of brief, discontinuous, nonmusical sounds heard during inspiration or expiration, indicating fluid in the lungs. Wheezing is a high-pitched, musical sound heard during expiration and can indicate the narrowing of the airways. These sounds are not typically expected in the breath sounds of a newborn.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
: A client with renal disease may have impaired kidney function, which can affect fluid balance in the body. Giving fluids too quickly or increasing the infusion rate too quickly can lead to fluid overload,
which can exacerbate the client's condition. It is important for the nurse to monitor the amount of fluid the client is receiving to ensure that the infusion rate is appropriate for the client's condition and to prevent fluid overload. Checking the intravenous rate every two days is not sufficient; the nurse should monitor the rate regularly and adjust it as necessary based on the client's response.
Correct Answer is B
Explanation
During exercise, the heart has to work harder to pump blood and oxygen to the muscles. In patients with stable angina, there is a partial blockage of the coronary arteries, which reduces blood flow and oxygen delivery to the heart muscle. This lack of oxygen to the heart muscles causes chest pain or discomfort, which subsides when the patient stops exercising and is relaxed.
Therefore, it is important for the patient with stable angina to avoid activities that trigger chest pain, take prescribed medications, and make lifestyle modifications to manage their condition.
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