A senior patient is being admitted due to lobar pneumonia to the med-surgical floor. When auscultating, the nurse would expect to listen to which of the following adventitious breath sounds?
Wheezes
Rhonchi
Coarse crackles (rales)
No sound
The Correct Answer is C
A. Wheezes: Wheezes are high-pitched sounds usually associated with airway constriction, such as in asthma, not specifically lobar pneumonia.
B. Rhonchi: Rhonchi are low-pitched, snoring sounds associated with secretions in the airways and may be present in pneumonia but are not the most characteristic finding.
C. Coarse crackles (rales): Coarse crackles or rales are bubbling, crackling sounds heard when air moves through fluid in the airways, which is typical in pneumonia due to the presence of alveolar fluid.
D. No sound: Absence of sound is not expected in pneumonia; adventitious sounds like crackles are usually present.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Wound infection: While important to address, a wound infection does not directly impact airway, breathing, or circulation unless it leads to severe complications.
B. Bacteremia: This condition is serious and can lead to sepsis, which affects circulation, but immediate airway and breathing issues take precedence.
C. Aspiration pneumonia: This directly affects breathing by causing respiratory complications, making it a priority when considering airway and breathing issues.
D. Urinary tract infection: Although it requires treatment, it does not immediately impact airway, breathing, or circulation like aspiration pneumonia can.
Correct Answer is ["A","B","D"]
Explanation
A. Rovsing sign: This sign is positive when palpation of the left lower quadrant causes pain in the right lower quadrant, indicating possible appendicitis.
B. Psoas sign: This sign is positive when pain occurs upon extending the right thigh or flexing the hip against resistance, suggesting irritation of the psoas muscle due to appendicitis.
C. Murphy sign: This sign is associated with gallbladder inflammation (cholecystitis), not appendicitis.
D. Obturator sign: This sign is positive when pain occurs upon flexing and internally rotating the right thigh, which can indicate irritation of the obturator muscle due to appendicitis.
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