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A client has sustained a brainstem injury. Which of the following would the nurse
need to keep in mind about this client's respiratory effort?
There is loss of involuntary respiratory control
Which abnormal respiratory finding should the nurse expect to observe upon
assessment of a client with a pleural effusion?
Dyspnea on exertion and dry, nonproductive cough
A client presents to the health care clinic and reports a recent onset of a
persistent cough. The client denies any shortness of breath, change in activity
level, or other findings of an acute upper respiratory tract illness. What question
by the nurse is most appropriate to further assess the cause for the cough?
"Are you taking any medications on a regular basis?"
When percussing the posterior lung fields, which of the following findings is
expected?
Resonance over all lung fields
The nurse is caring for a client who is 48 hours postop from the repair of a
fractured hip. She has a sudden onset of dyspnea without pain. What disease
process would the nurse suspect?
Pulmonary embolism
What would the nurse expect to hear when auscultating the lungs of a client who
is dehydrated?
Friction rub
A patient appears in the clinic with a cough that began 24 hours prior to coming
to this visit. The nurse evaluates the patient based on the most common cause of
an acute cough, which is
Viral respiratory infection
A nurse auscultates a client's lungs and hears fine crackles. What is an
appropriate action by the nurse?
ask patient to cough forcefully
When crackles, wheezes, or rhonchi clear with a cough, which of the following is
a likely etiology
Bronchitis `
While auscultating a client's lungs, the nurse notes the presence of adventitious
sounds. What action would the nurse do first?
have the client cough then listen again
While auscultating a client's trachea, the nurse hears a high, harsh sound with
short inspiration and long expiration. How would the nurse document this finding
Bronchial breath sounds
What would the nurse expect to hear when auscultating the lungs of a client with
pleuritis?
Friction Rub