A nurse is auscultating for crackles on a client who has pneumonia. Which of the following anterior chest wall locations should the nurse auscultate? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)
A
B
C
D
None
None
The Correct Answer is B
Correct choice is B
A. This area corresponds to the trachea which produces bronchial breath sounds which are inconsistent with lower airway disease as expected in pneumonia.
B. This area corresponds to the right upper lung lobe which is accurate for auscultation for abnormal breath sounds such as crackles.
C. This area corresponds to the right upper quadrant for auscultation for bowel sounds.
D. This area corresponds to the cardiac region which is more accurate for auscultation of heart sounds.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Providing humidification can help alleviate dry mouth by increasing moisture in the air, which is beneficial for the client experiencing xerostomia.
B. Alcohol-based mouthwash can exacerbate dry mouth and should be avoided.
C. Esophageal speech is typically used for clients who have had laryngectomy, not for those with xerostomia.
D. Saltine crackers are dry and could worsen xerostomia by further drying the mouth. Hydration and saliva substitutes are more appropriate.
Correct Answer is C
Explanation
A. Amitriptyline is more likely to cause a decrease in blood pressure, especially when standing (orthostatic hypotension), rather than an increase.
B. St. John’s wort should not be taken with amitriptyline as it can interact and increase the risk of serotonin syndrome.
C. It typically takes 2-4 weeks for amitriptyline to show therapeutic effects.
D. Amitriptyline is usually taken with food to minimize gastrointestinal discomfort.
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