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Nursing 112 final (A+ Guaranteed)

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crackles correct answers fine, crackling sounds made as air moves through wet secretions in the lungs. May be heard in Pneumonia , heart failure and restrictive pulmonary diseases. wheeze correct answers high-pitched, musical, squeaking adventitious lung sound. heard in airway diseases when thickness of airways increases such as asthma. pleural friction rub correct answers sounds like two surfaces rubbing together. Superficial, low pitched and course. Heard in individuals with pleurisy. Rhonchi correct answers Coarse, low-pitched breath sounds heard in patients with chronic mucus in the upper airways. heard in COPD patients Wheeze correct answers narrowing of the bronchi creates which adventitious sound? Rhonchi correct answers On auscultation of a patients lungs, the nurse hears a low pitched, coarse, loud, and low snoring sound. what term does the nurse use to document this finding? 1. Aortic 2. Pulmonic 3. Tricuspid 4. Mitral correct answers Auscultating heart valves pulmonic valve correct answers The nurse is listening to the patient's heart at the 2nd LSB. Which area is being auscultated? Steps to listen to bowel sounds? correct answers LRQ,URQ.ULQ,LLQ How to measure lungs sounds correctly? correct answers listening to both sides equally Lethargic correct answers Aroused by saying name and touch Will arouse momentarily and go back to "sleep" Obtunded correct answers Aroused by loud verbal stimuli and vigorous shaking Will arouse momentarily and go back to "sleep" Stuporous correct answers Requires painful stimuli Response is withdrawal from source of pain Semicomatose correct answers Requires painful stimuli Responds by • Abnormal flexion (Decorticate posturing) • Abnormal extension (Decerebrate posturing) Comatose correct answers No response to any stimuli


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