Nokea
A healthcare provider assesses a client with pneumonia. Which clinical manifestation should the provider expect to find?
- A. Fremitus
- B. Hyperresonance
- C. Dullness on percussion
- D. Decreased tactile fremitus
Correct Answer: C
Rationale: The correct answer is C: Dullness on percussion. Pneumonia is characterized by consolidation of lung tissue, causing dullness on percussion due to increased density. Fremitus (A) and tactile fremitus (D) are decreased in conditions like pleural effusion or pneumothorax, not pneumonia. Hyperresonance (B) is associated with conditions like emphysema, not pneumonia. In pneumonia, the affected area is consolidated, leading to dullness on percussion.
You may also like to solve these questions
A client with chronic obstructive pulmonary disease (COPD) is being assessed by a nurse. Which finding should the nurse expect?
- A. Increased anterior-posterior (AP) chest diameter
- B. Decreased respiratory rate
- C. Weight gain
- D. Productive cough with yellow sputum
Correct Answer: A
Rationale: The correct answer is A: Increased anterior-posterior (AP) chest diameter. In COPD, the lungs lose their elasticity, trapping air and causing hyperinflation. This leads to increased AP chest diameter due to barrel chest appearance. Option B is incorrect because COPD often results in an increased respiratory rate due to difficulty breathing. Option C is incorrect as weight gain is not a typical finding in COPD, which is often associated with weight loss. Option D is incorrect as a productive cough with yellow sputum is more commonly seen in respiratory infections rather than COPD exacerbations.
What condition could predispose a client to shock?
- A. The kidneys work improperly
- B. The heart fails as an effective pump
- C. Peripheral blood vessels massively constrict
- D. Blood volume increases
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When teaching a client with chronic obstructive pulmonary disease (COPD) about nutrition, what information should be included? (Select all that apply)
- A. Avoid drinking fluids just before and during meals.
- B. Rest before meals if experiencing dyspnea.
- C. Have about six small meals a day.
- D. Eat high-fiber foods to promote gastric emptying.
Correct Answer: D
Rationale: The correct answer is D: Eat high-fiber foods to promote gastric emptying. In COPD, patients may experience slow gastric emptying due to decreased lung function. High-fiber foods can help with digestion and prevent constipation.
A: Avoid drinking fluids just before and during meals - Incorrect. Hydration is important for COPD patients, but timing of fluid intake is not directly related to nutrition in this context.
B: Rest before meals if experiencing dyspnea - Incorrect. While resting before meals can help with dyspnea, it is not directly related to nutrition education.
C: Have about six small meals a day - Incorrect. While small frequent meals may be beneficial for some COPD patients, this is not a universal recommendation for all individuals with COPD in terms of nutrition.
What nursing order should be included in Mr. Puff’s care plan?
- A. Increase fluid intake to a minimum of 3000 ml/day
- B. Provide for postural drainage for 20 minutes after meals
- C. Restrict visitors
- D. Walk in hall t.i.d. for 20 minutes
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which BMI is associated with overeating syndromes?
- A. Increase protein intake
- B. Reduce carbohydrate consumption
- C. Drink more water
- D. Take vitamin supplements
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.