Author Question: An immobilized client is suspected of having atelectasis. This is assessed by the nurse upon ... (Read 29 times)

cdr_15 · **on:** Jul 23, 2018

An immobilized client is suspected of having atelectasis. This is assessed by the nurse upon aus-cultation as:

1. Harsh crackles
2. Wheezing on inspiration
3. Diminished breath sounds
4. Bronchovesicular whooshing

Question 2

The nurse assesses that the client has torticollis and that this may adversely influence the client's mobility. This individual has a(n):

1. Exaggeration of the lumbar spine curvature
2. Increased convexity of the thoracic spine
3. Abnormal anteroposterior and lateral curvature of the spine
4. Contracture of the sternocleidomastoid muscle with a head incline

akpaschal · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 3
Atelectasis is the collapse of alveoli. In atelectasis, secretions block a bronchiole or a bronchus, and the distal lung tissue (alveoli) collapses as the existing air is absorbed, producing hypoventi-lation. If the client were suspected of having atelectasis, the nurse would expect diminished breath sounds in the area of hypoventilation. Harsh crackles indicate excessive airway secretion. Wheezing on inspiration indicates narrowing of the lumen of a respiratory passageway. Bron-chovesicular sounds are a mixture of bronchial and vesicular sounds. Bronchovesicular whoosh-ing would not be an expected sound indicating atelectasis.

Answer to Question 2

ANS: 4
Torticollis is inclining of the head to the affected side, in which the sternocleidomastoid muscle is contracted. Lordosis is an exaggeration of the lumbar spine curvature. Kyphosis is an increased convexity in the curvature of the thoracic spine. Kyphoscoliosis is an abnormal anteroposterior and lateral curvature of the spine.