A nurse is collecting data on a client who has a pleural effusion. Which of the following findings should the nurse expect?
Crackles auscultated over the client's lung fields
Crepitus palpated on the client's chest
Substernal retractions noted on the client's chest
Dullness percussed over the client's lung fields
The Correct Answer is D
Choice A reason: Crackles auscultated over the client's lung fields are not a sign of pleural effusion. Crackles are abnormal breath sounds that indicate fluid or secretions in the alveoli. They can be heard in conditions such as pneumonia, heart failure, or pulmonary edema.
Choice B reason: Crepitus palpated on the client's chest is not a sign of pleural effusion. Crepitus is a crackling sensation that occurs when air leaks into the subcutaneous tissue. It can be felt in conditions such as pneumothorax, chest trauma, or chest surgery.
Choice C reason: Substernal retractions noted on the client's chest are not a sign of pleural effusion. Substernal retractions are inward movements of the chest wall below the sternum that indicate increased respiratory effort. They can be seen in conditions such as asthma, bronchiolitis, or croup.
Choice D reason: Dullness percussed over the client's lung fields is a sign of pleural effusion. Dullness is a flat sound that indicates the presence of a solid or liquid mass in the thoracic cavity. It can be detected in conditions such as pleural effusion, atelectasis, or consolidation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Dry skin is not a sign of respiratory alkalosis. It can be caused by other conditions such as dehydration, eczema, or hypothyroidism.
Choice B reason: Abdominal pain is not a sign of respiratory alkalosis. It can be caused by other conditions such as gastritis, appendicitis, or gallstones.
Choice C reason: Diarrhea is not a sign of respiratory alkalosis. It can be caused by other conditions such as infection, inflammation, or food intolerance.
Choice D reason: Numbness of fingers is a sign of respiratory alkalosis, as it indicates a low level of calcium in the blood (hypocalcemia). Hypocalcemia can result from the alkalosis, as it causes the calcium to bind to proteins and become less available. Numbness of fingers can also affect the toes and lips.
Correct Answer is D
Explanation
Choice A reason: Bacteria are not detected by the stool guaiac test. The stool guaiac test is a chemical test that reacts with hemoglobin, a protein found in red blood cells. Bacteria are microorganisms that do not contain hemoglobin.
Choice B reason: Fat is not detected by the stool guaiac test. The stool guaiac test is a chemical test that reacts with hemoglobin, a protein found in red blood cells. Fat is a lipid that does not contain hemoglobin.
Choice C reason: Parasites are not detected by the stool guaiac test. The stool guaiac test is a chemical test that reacts with hemoglobin, a protein found in red blood cells. Parasites are organisms that live in or on another host and do not contain hemoglobin.
Choice D reason: Blood is detected by the stool guaiac test. The stool guaiac test is a chemical test that reacts with hemoglobin, a protein found in red blood cells. Blood can indicate bleeding in the gastrointestinal tract, which can be caused by various conditions such as ulcers, polyps, or cancer.
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