Adventitious breath sounds that have a whistling or sighing sound due to narrowing of the lumen of a respiratory passage are termed:
bruits
crackles
wheezing
Turgor
The Correct Answer is C
A. Bruits – Bruits are vascular sounds caused by turbulent blood flow, typically heard over arteries.
B. Crackles – Crackles (rales) are discontinuous, crackling breath sounds caused by fluid in the alveoli, often heard in pneumonia or heart failure.
C. Wheezing – Wheezing is a high-pitched, whistling sound heard during breathing, usually caused by narrowed airways due to asthma, bronchitis, or allergic reactions.
D. Turgor – Turgor refers to skin elasticity and is used to assess hydration status, not lung sounds.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Press the skin over the client's ankle bone. – The skin over bony prominences does not provide an accurate assessment of turgor due to reduced subcutaneous tissue in elderly clients.
B. Lightly palpate the skin using the fingertips. – Light palpation assesses texture and moisture but does not evaluate skin turgor.
C. Grasp a fold of skin on the client’s forearm or near the sternum. – Skin turgor is best assessed by gently pinching the skin on the forearm or sternum. Delayed return to normal indicates dehydration or decreased skin elasticity due to aging.
D. Observe for non-blanching, pinpoint-size, red or purple spots on the skin of the abdomen. – This describes petechiae, which indicate capillary fragility or bleeding disorders, not skin turgor.
Correct Answer is A
Explanation
A. Exudate – Exudate is fluid rich in proteins and cells that escapes from blood vessels due to inflammation or injury.
B. Pus – Pus is a thick, yellowish-white exudate containing dead cells and bacteria, specifically associated with infection.
C. Drainage – Drainage is a general term for any fluid leaving the body, including exudate, blood, or serous fluid.
D. Discharge – Discharge is a broader term referring to any material exiting the body, including normal secretions and infectious material.
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