, Question 1
5 out of 5 points
What sound would be expected when percussing the chest of a client with emphysema?
Selected
Answer:
Hyperresona
nce
Correct
Answer:
Hyperresona
nce
Response See Assessment Procedure,
Feedback: Percussion
Question 2
5 out of 5 points
What would the nurse document when listening to breath sounds and hearing a low, soft
sound with short expiration and long inspiration?
Selected
Answer:
Vesicular breath
sounds
Correct
Answer:
Vesicular breath
sounds
Response See Table 1
Feedback: 9-1
Question 3
5 out of 5 points
While auscultating a client's lungs, the nurse notes the presence of adventitious sounds. Which of
the following actions should the nurse do first?
Selected
Answer:
Have the client cough, then listen again.
Correct
Answer:
Have the client cough, then listen again.
Response Listening and then listening again after coughing is what a lot of critical care
Feedback: nurses do when assessing for the first signs of heart failure. Listening after
coughing should clear some of the sounds and if it doesn't then it is
obvious that the sounds are a result of an ongoing problem.
Question 4
5 out of 5 points
On auscultation of valvular sounds over the precordium, what area is auscultated at the
fourth or fifth intercostal space at the left lower sternal border?
Selected
Answer:
Tricuspi
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