Med-Surg Test #1 (Respiratory) Questions with Correct Answers

A nurse is auscultating the lung sounds of a client who came to the clinic for a physical exam. There is not any history of lung disease. What should the nurse expect to hear? a. adventitious breath sounds b. bronchial breath sounds c. bronchovesicular breath sounds d. vesicular breath sounds Correct Answer answer: c rationale: the nurse auscultates breath sounds from side to side, moving from the upper to the lower chest. They listen anteriorly, laterally, and posteriorly. Normal breath sounds include bronchovesicular sounds. A client comes to the doctor's office describing shortness of breath and strange breath sounds when inhaling deeply. Upon auscultation of the lung fields, sibilant wheezes are noted. Which of the following statements by the nurse most correct? a. "Wheezes result from air passing through narrowed passages." b. "Wheezes result from air escaping through a pneumothorax." c. "Wheezes result from air collecting in the pleural cavity." d. "Wheezes result from air between visceral and parietal pleurae." Correct Answer answer: a ratioanle: wheezes may be sibilant (hissing/whistling) or sonorous (full and deep). Sibilant wheezes (formerly called wheezes) are continuous musical sounds that can be heard during inspiration and expiration; and result from air passing through narrowed or partially obstructed air passages and are heard in clients with increased secretions. A nurse needs to obtain a sputum specimen from an adult client. Which nursing action will best facilitate obtaining the specimen? a. ask the client to spit into the collection container b. have the client take deep breaths c. restrict the client's fluids d. wait until after the client has eaten to get the specimen. Correct Answer answer: b rationale: collecting a sputum specimen have the client rinse their mouth with tap water; instruct the client to take several deep breaths, cough forcefully, and expectorate into the container. The nurse is giving instructions to a client having pulmonary angiography. Which of the following statements is the best evidence that the client understands the nurse's instructions about what will take place during the diagnostic procedure? Select all that apply. a. "I may feel some pressure at the site."