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
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. Limiting feeding time to 30 minutes helps reduce the infant's workload and prevent fatigue, which is important for infants with heart failure.
B. Weighing the infant daily is more appropriate to monitor for fluid retention, which is a key concern in heart failure.
C. Placing the infant in the prone position is contraindicated due to the risk of sudden infant death syndrome (SIDS). The infant should be placed on their back for sleep.
D. Oxygen saturation should be checked more frequently than every 6 hours in an infant with heart failure, especially when monitoring for signs of distress.
Correct Answer is A
Explanation
A. Banana slices are a safe food for toddlers to pick up and eat independently.
B. Grapes should be avoided for toddlers because they are a choking hazard unless cut into small pieces.
C. Hot dogs are also a choking hazard for toddlers and should be avoided unless cut into small, manageable pieces.
D. Popcorn is a choking hazard for toddlers and should not be offered.
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