During auscultation of breath sounds, the nurse should correctly use the stethoscope in which of the following ways?

Listening as the patient inhales and then going to the next site during exhalation

If the patient is modest, listening to sounds over his or her clothing or hospital gown.

Instructing the patient to breathe in and out rapidly while listening to the breath sounds

Listening to at least one full respiration in each location

Answer and Explanation

The Correct Answer is D

A. Listening as the patient inhales and then going to the next site during exhalation. This method does not allow for a complete assessment of breath sounds, as abnormalities may be present during either phase of respiration.
B. If the patient is modest, listening to sounds over his or her clothing or hospital gown. Clothing can muffle or distort breath sounds, leading to inaccurate assessments. The stethoscope should be placed directly on the skin.
C. Instructing the patient to breathe in and out rapidly while listening to the breath sounds. Rapid breathing may lead to hyperventilation and dizziness, and it can make it difficult to detect subtle abnormalities such as crackles or wheezes.
D. Listening to at least one full respiration in each location. This is the correct technique because it allows the nurse to fully assess breath sounds during both inhalation and exhalation, ensuring accurate identification of any abnormal sounds.

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Correct Answer is ["10"]

Explanation

To convert teaspoons (tsp) to milliliters (mL), the conversion factor is:

1tsp=5mL1

Given:

2 tsp

2 × 5mL = 10mL

Thus, 2 tsp = 10 mL.

A. 4+ B. 3+ C. 2+ D. 1+

Correct Answer is D

Explanation

A. 4+. A 4+ pulse is bounding and strong, often seen in conditions like fever, anemia, or fluid overload. This does not match the description of a weak pulse.
B. 3+. A 3+ pulse is stronger than normal but not bounding. This is not considered weak.
C. 2+. A 2+ pulse is normal and easily palpable, which does not indicate the weakened pulse described in the patient.
D. 1+. A 1+ pulse is weak and thready, meaning it is difficult to palpate and easily disappears with slight pressure. This grading is appropriate for a hypotensive patient with poor perfusion.

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During auscultation of breath sounds, the nurse should correctly use the stethoscope in which of the following ways?

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Naxlex Comprehensive Predictor Exams

2 tsp =

Correct Answer is ["10"]

Explanation

The nurse is caring for a hypotensive patient whose peripheral pulses are very weak. Which grade will the nurse use to document this finding?

Correct Answer is D

Explanation

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