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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Due to a specific stimulus. Pain can occur with or without an identifiable stimulus. Conditions like neuropathic pain or phantom limb pain exist without an obvious external cause.
B. Caused by a single physiological situation. Pain can result from multiple factors, including tissue damage, nerve dysfunction, inflammation, and psychological influences. It is not limited to one specific physiological cause.
C. Universally the same for everyone. Pain perception varies widely between individuals due to differences in pain tolerance, cultural background, past experiences, and psychological state.
D. Subjective. Pain is defined as whatever the patient says it is, making it a subjective experience. It cannot be measured objectively, and the best indicator of pain is the patient’s self-report.
Correct Answer is ["90"]
Explanation
Calculation:
To convert fluid ounces (FL OZ) to milliliters (mL), the conversion factor is:
1FL OZ = 30mL
Given:
= (3 FL OZ × 30mL)/1 FL OZ
= 90mL
Thus, 3 FL OZ = 90 mL.
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