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 B
Explanation
A. Filing nails in a rounded shape may lead to ingrown nails, so a straight-across filing is recommended for safety and proper nail care.
B. An orange stick is commonly used to clean under the nails, as it is gentle and reduces the risk of injury to the nail bed.
C. Pushing the cuticles back with a metal nail file can cause injury and infection. A soft tool like an orangewood stick is preferred.
D. Trimming the nails at the lateral corners is not recommended as it can cause the nails to become ingrown. Nails should be trimmed straight across.
Correct Answer is B
Explanation
A. The Administration for Children and Families primarily handles welfare and family support programs, not HIPAA administrative provisions.
B. The Centers for Medicare and Medicaid Services (CMS) is responsible for implementing and administering many aspects of HIPAA related to health care providers, insurers, and payment systems.
C. The Social Security Administration manages social security programs but does not handle HIPAA administrative provisions.
D. The Health Resources and Services Administration is focused on improving access to health care for underserved populations, not directly responsible for HIPAA administration.
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