Nokea
The nurse is performing auscultation of breath sounds on a respiratory patient. The sounds heard on inspiration and expiration are low-pitched coarse gurgling and have a snoring sound. What best identifies these sounds?
- A. Crackles
- B. Plural friction rub
- C. Rhonchi
- D. Sonorous wheezes
Correct Answer: D
Rationale: Sonorous wheezes have a low-pitched, coarse, gurgling, snoring quality and usually indicate the presence of mucus in the trachea and large airways.
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A health care provider documents that a patient has a scleral icterus. What is the cause of this coloring?
- A. Bilirubin
- B. Hemoglobin
- C. Serum potassium
- D. Serum magnesium
Correct Answer: A
Rationale: Scleral icterus means the color of the sclera is yellow. The jaundice is due to coloring of the sclera with bilirubin that infiltrates all tissues of the body.
During a physical assessment the nurse notes a patient has profuse secretions of sweat. What should the nurse document that the patient is experiencing?
- A. Dyspnea
- B. Cyanosis
- C. Diaphoresis
- D. Ecchymosis
Correct Answer: C
Rationale: Diaphoresis is the secretion of sweat, especially the profuse secretion associated with an elevated body temperature, physical exertion, exposure to heat, and mental or emotional stress.
When assessing a female for risk factors associated with coronary artery disease what information should the nurse include?
- A. Family history of illness
- B. Diet
- C. Smoking
- D. Exercise
- E. Number of pregnancies
Correct Answer: A,B,C,D
Rationale: With the exception of information relative to pregnancies, all options would be informative about risk for heart disease.
Redness or inflammation of the skin or mucous membranes that is the result of dilation and congestion of superficial capillaries is known as ____.
Correct Answer: erythema
Rationale: Erythema is redness or inflammation of the skin or mucous membranes that is the result of dilation and congestion of superficial capillaries.
Cultural beliefs and personal characteristics determine ____ behavior in individuals and families. More than half of all health problems are the result of behavior and lifestyle.
Correct Answer: health
Rationale: Cultural beliefs and personal characteristics determine health behavior in individuals and families. More than half of all health problems are the result of behavior and lifestyle.