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A nurse is auscultating the lungs of a client who has pleurisy. Which of the following adventitious breath sounds should the nurse expect to hear?

A.

Popping sounds

B.

Loud, gating sounds

C.

Snoring sounds

D.

Squeaky, musical sounds

Answer and Explanation

The Correct Answer is B

Rationale:

 

A. Popping sounds, also known as crackles, are typically associated with fluid in the alveoli, often seen in conditions like pneumonia or heart failure, not pleurisy.

 

B. Loud, grating sounds, known as pleural friction rub, are characteristic of pleurisy. This sound is produced by the inflamed pleural surfaces rubbing together during respiration.

 

C. Snoring sounds, or rhonchi, are usually heard in conditions involving airway obstruction by mucus, such as bronchitis, rather than pleurisy.

 

D. Squeaky, musical sounds, or wheezing, are associated with airway narrowing, such as in asthma or chronic obstructive pulmonary disease (COPD), and are not typically heard in pleurisy.


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View Related questions

Correct Answer is C

Explanation

Rationale:

A. Discomfort at the puncture site is expected after a thoracentesis and typically managed with analgesics.

B. A decreased temperature is not a common complication of thoracentesis and might indicate other issues, but it is not immediately alarming.

C. An increased heart rate (tachycardia) could be a sign of a pneumothorax, hemorrhage, or other serious complications following thoracentesis. This requires immediate assessment and intervention.

D. Serosanguineous drainage is expected to some extent, but it should be monitored for changes that might indicate a complication such as infection or continued bleeding.

Correct Answer is D

Explanation

Rationale:

A. Theophylline is a bronchodilator used in the management of asthma.

B. Montelukast is a leukotriene receptor antagonist that helps control asthma symptoms.

C. Prednisone is a corticosteroid used to reduce inflammation during an asthma exacerbation.

D. Propranolol is a non-selective beta-blocker that can cause bronchoconstriction and should be avoided in clients with asthma, as it may exacerbate their condition.

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