A nurse is auscultating the breath sounds of a client who has asthma. When the client exhales, the nurse hears continuous high-pitched squeaking sounds. The nurse should document this as which of the following adventitious breath sounds?
Wheezes
Rhonchi
Crackles
Stridor
The Correct Answer is A
A. Wheezes are high-pitched continuous sounds heard during exhalation, commonly associated with asthma due to narrowed airways.
B. Rhonchi are low-pitched sounds caused by airflow obstruction in the larger airways and typically clear with coughing.
C. Crackles (or rales) are high-pitched sounds heard during inhalation and are often associated with fluid in the lungs, such as in pneumonia or heart failure.
D. Stridor is a high-pitched sound heard during inspiration and is often indicative of upper airway obstruction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Wheezes are high-pitched continuous sounds heard during exhalation, commonly associated with asthma due to narrowed airways.
B. Rhonchi are low-pitched sounds caused by airflow obstruction in the larger airways and typically clear with coughing.
C. Crackles (or rales) are high-pitched sounds heard during inhalation and are often associated with fluid in the lungs, such as in pneumonia or heart failure.
D. Stridor is a high-pitched sound heard during inspiration and is often indicative of upper airway obstruction.
Correct Answer is D
Explanation
A. Gloves are used to protect against direct contact with bodily fluids, not specifically for droplet transmission.
B. A gown is generally used for contact precautions or to protect from body fluid exposure, not droplet transmission.
C. Goggles are used to protect the eyes from splashes or droplets, but they are not typically required for droplet precautions unless there is a risk of eye exposure.
D. A mask is required for droplet precautions, as droplet transmission can occur when a person coughs or sneezes. Wearing a mask helps prevent the spread of respiratory droplets.
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