A nurse is auscultating the breath sounds of a client who has asthma. When the client exhales, the nurse hears continuous high-pitched squeaking sounds. The nurse should document this as which adventitious breath sounds?
Wheezes
Crackles
Rhonchi
Stridor
The Correct Answer is A
A. Wheezes are continuous high-pitched sounds that occur during expiration (or sometimes inspiration) and are common in conditions like asthma due to narrowed airways.
B. Crackles are discontinuous sounds often described as popping or crackling and are not typically high-pitched.
C. Rhonchi are low-pitched, snoring-like sounds caused by the obstruction of larger airways and are not characterized as high-pitched.
D. Stridor is a high-pitched sound usually associated with upper airway obstruction and is not typically heard with asthma.
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Correct Answer is A
Explanation
A. Facial drooping is a common symptom following a stroke, particularly if it affects areas of the brain responsible for facial movement.
B. Frequent diarrhea is not typically associated with stroke and may be related to other factors.
C. A steady gait is unlikely following a stroke, especially if the stroke has affected motor control or balance.
D. Vocal clarity can be affected after a stroke, but facial drooping is a more immediate and recognizable alteration in neurologic function.
Correct Answer is D
Explanation
A. Urinary frequency is characterized by the need to urinate more often but does not necessarily cause cloudy urine, odor, or hematuria.
B. Urinary retention involves the inability to empty the bladder fully but does not specifically present with cloudy urine, odor, or blood.
C. Urinary incontinence refers to the involuntary loss of urine and does not directly correlate with the urine's appearance or presence of blood.
D. A urinary tract infection (UTI) commonly causes cloudy urine, foul odor, and hematuria due to inflammation and infection in the urinary tract.