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Exam (elaborations)

NURSING MED SURG TEST Q AND A - Jersey College.

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NURSING MED SURG TEST Q AND A - Jersey College. Detailed working, solutions, memo, notes & explanations.TEST 30. The nurse is preparing to auscultate a client's lungs after completing thoracic inspection, palpation, and percussion. How should the nurse best prepare for this assessment technique? A) Keep the client's shirt or gown in place to maintain privacy. B) Begin with the bell of the stethoscope on the client's anterior chest. C) Tell the client that you will be asking him or her to breathe as quickly and deeply as possible. D) Place the diaphragm on the client's posterior chest wall. D. 15. While auscultating a client's trachea, the nurse hears a high, harsh sound with short inspiration and long expiration. The nurse would document which of the following? A) Vesicular breath sounds B) Bronchovesicular breath sounds C) Adventitious breath sounds D) Bronchial breath sounds D. 3. The nurse is assessing a client who has been admitted for the treatment of severe dehydration. What might the nurse expect to hear when auscultating the lungs of a client with this fluid volume deficit? A) Friction rub B) Decreased breath sounds C) Sibilant wheeze D) Stridor

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