Author Question: A nurse assesses a patient's lungs and notes the presence of low-pitched snoring sounds that clear ... (Read 71 times)

corkyiscool3328 · **on:** Jul 23, 2018

A nurse assesses a patient's lungs and notes the presence of low-pitched snoring sounds that clear with coughing. What action by the nurse is best?

a. Prepare to treat the patient for asthma.
b. Prepare to treat the patient for pneumonia. c.
Teach the parent how to prevent croup.
d. Assess the patient for heart failure.

Question 2

A nurse is assessing a patient's abdomen and hears bowel sounds every 20 to 25 seconds. What action by the nurse is best?

a. Avoid palpating this patient's abdomen.
b. Document the findings in the patient's chart.
c. Have another nurse verify the findings.
d. Ask the patient when the last food intake was.

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

Answer to Question 1

ANS: B
The patient has rhonchi. Rhonchi are caused by increased secretions in large airways and can be seen in pneumonia or in other conditions, leading to increased mucus production. The nurse prepares to treat the patient for pneumonia. Asthma would manifest with wheezing, coup with stridor, and heart failure with rales or crackles.

Answer to Question 2

ANS: B
These findings are normal; it may take up to 30 seconds of listening to hear bowel sounds. The nurse documents the findings; no other action is needed.