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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 A

Explanation

Rationale:

A. Smoking cessation is the most effective measure for preventing chronic bronchitis, as smoking is the leading cause of this condition.

B. Regular moderate exercise is beneficial for overall health and respiratory function but is not as directly effective in preventing chronic bronchitis as smoking cessation.

C. Maintaining an ideal weight is important for overall health but does not directly prevent chronic bronchitis.

D. Annual influenza immunization helps prevent respiratory infections that could exacerbate chronic bronchitis but does not prevent the development of the disease itself.

Correct Answer is ["A","B","C","D","E","F"]

Explanation

Rationale:

A: Inhale deeply and then exhale completely: This step helps to empty the lungs, making room for the medication to be inhaled effectively.

B: Place her lips firmly around the mouthpiece: Ensuring a tight seal around the mouthpiece prevents the medication from escaping and ensures proper delivery to the lungs.

C: Breathe in deeply over 2 to 3 seconds while pushing down on the canister: Coordinating the inhalation with the activation of the canister ensures that the medication is inhaled deeply into the lungs.

D: Hold her breath for 10 seconds: Holding the breath allows the medication to settle in the lungs and increase its effectiveness.

E: Exhale slowly through pursed lips: This helps to maintain the medication in the lungs for as long as possible and promotes better absorption.

F: Wait 60 seconds between each puff: Waiting between puffs allows time for the medication to take effect and ensures that the next dose will be more effective.

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