Author Question: A student nurse is working with a patient who has asthma . The primary nurse tells the student that ... (Read 751 times)

EY67 · **on:** Jun 25, 2018

A student nurse is working with a patient who has asthma . The primary nurse tells the student that wheezes can be heard on auscultation. The student expects to hear:

a. coarse crackles and bubbling.
b. high-pitched musical sounds.
c. dry, grating noises.
d. loud, low-pitched rumbling.

Question 2

The nurse is applying a CPM machine to the patient's leg. To do so, she must: (Select all that apply.)

a. provide analgesia 1 hour before starting the CPM.
b. stop the CPM when in extension and place a sheepskin on the machine.
c. align the patient's joint with the CPM's mechanical joint.
d. secure the patient's extremity tightly with Velcro straps.

batool · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

B
Wheezes are high-pitched, continuous, musical sounds like a squeak heard continuously during inspiration or expiration; they are usually louder on expiration. Coarse crackles and bubbling are not descriptive of wheezes. Dry, grating noises are heard with a pleural friction rub. Loud, low-pitched rumbling is characteristic of rhonchi.

Answer to Question 2

B, C
Provide analgesia 20 to 30 minutes before CPM is needed. Stop the CPM when in extension. Place sheepskin on the CPM to ensure that all exposed hard surfaces are padded to prevent rubbing and chafing of the patient's skin. Align the patient's joint with the mechanical joint of the CPM.