When auscultating the lungs of a client with shortness of breath, ...

[joblessjake]

When auscultating the lungs of a client with shortness of breath, the nurse hears a low-pitched sound that is continuous throughout inspiration. This lung sound would indicate:
 
  1. Narrow trachea passages.
   2. Narrow bronchi.
   3. Inflamed pleural surfaces.
   4. Blocked large airway passages.

Question 2

A nursing student who is working with a unit preceptor encounters a problem when the preceptor asks the student to perform a task that is not considered a function of the student.
 
  The student's instructor, the hospital educator, and the charge nurse are not immediately available to the student. The student should: 1. Attempt to resolve the problem with the preceptor.
   2. Check the organizational chart for direction.
   3. Ask a fellow student for assistance.
   4. Refuse the assignment until the instructor is available.

[kingfahad97]

Answer to Question 1

4. Blocked large airway passages.

Rationale:
The nurse auscultated rhonchi, which are low-pitched sounds that are continuous throughout inspiration. Rhonchi suggests blockage of large airway passages, which may be cleared with coughing. Stridor is the sound created by narrow tracheal passages. A low-pitched grating sound is created by inflamed pleural surfaces. Wheezing is created by narrow bronchi.

Answer to Question 2

2. Check the organizational chart for direction.

Rationale:
The organizational chart would help the student determine who the next best person to consult in this situation would be. The student could attempt to resolve the situation with the preceptor, but the preceptor should not have asked the student to perform a task that is not approved for students. A fellow student could only side with the first student and has no authority to resolve the situation. Refusing the task is necessary, but in order to avoid conflict on the unit, it would be best to alert the person who is next in line who has the authority to stand behind the student.