Which of the following is not considered an adventitious lung sound upon auscultation:

Pleural friction rub

Rhonchi

Stridor

Vesicular

Answer and Explanation

The Correct Answer is D

A. Pleural friction rub: An adventitious sound that occurs due to inflamed pleural surfaces rubbing against each other during respiration.
B. Rhonchi: A low-pitched, continuous adventitious lung sound typically caused by airway obstruction or secretions.
C. Stridor: A high-pitched adventitious sound caused by upper airway obstruction.
D. Vesicular: A normal breath sound heard over most of the lung fields, characterized by a soft, low-pitched rustling sound.

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Correct Answer is A

Explanation

A. Assist the client to Fowler's position: This position helps maximize lung expansion, making it easier for the client to breathe.
B. Promote removal of pulmonary secretions: Important but secondary to addressing immediate respiratory distress.
C. Increase the oxygen flow: This should only be done per provider order to avoid complications such as oxygen toxicity.
D. Obtain a specimen for arterial blood gases: This is a diagnostic step but not an immediate intervention for difficulty breathing.

A. raise the head of the bed to high Fowler's position B. remove the inner cannula with the ungloved hand C. suction tracheostomy before beginning care D. clean cannula with gauze and replace and lock

Correct Answer is ["A","C"]

Explanation

A. Raise the head of the bed to high Fowler's position: This promotes optimal lung expansion and drainage, reduces aspiration risk, and facilitates easier tracheostomy care.
B. Remove the inner cannula with the ungloved hand: Sterile technique is required when handling the inner cannula to prevent infection.
C. Suction tracheostomy before beginning care: Suctioning clears secretions and ensures better visibility for care, reducing the risk of aspiration during the procedure.
D. Clean cannula with gauze and replace and lock: The inner cannula should be cleaned per protocol using sterile saline and replaced securely.

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Which of the following is not considered an adventitious lung sound upon auscultation:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is having difficulty breathing. The client is lying in bed and is already receiving oxygen therapy via nasal cannula. Which of the following interventions is the nurse's priority?

Correct Answer is A

Explanation

The nurse performing tracheostomy care will:

Correct Answer is ["A","C"]

Explanation

A nurse is reinforcing teaching with a newly licensed nurse about the manifestations of hypoxia. Which of the following findings should the nurse include in the teaching?

The nurse caring for a patient with a disposable chest drainage system can promote effective tube function and patient safety by:

A nurse is attending a social gathering when another guest suddenly coughs weakly once, grasps her throat with her hands, and cannot talk. Which of the following actions should the nurse take?

Which of the following is not considered an adventitious lung sound upon auscultation:

A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take?

A nurse performing oral suctioning on an adult patient should set the wall suction machine so that the suction pressure is between:

A patient requires a precise concentration of 40% oxygen. Which of the following devices would best allow for this?

A nurse is reinforcing teaching with a client who has a prescription for home oxygen therapy. Which of the following instructions should the nurse include?