The nurse assesses a client for adventitious breath sounds. The ...

[j.rubin]

The nurse assesses a client for adventitious breath sounds. The student nurse is asked by the nurse what are examples of abnormal breath sounds. What are the best responses by the student nurse of abnormal breath sounds?
 
  1 . Eupnea
   2 . Rales
   3 . Rhonchi
   4 . Stridor
  A) 1, 2, 3
  B) 1, 2, 4
  C) 1, 3, 4
  D) 2, 3, 4

Question 2

A 30-year-old client with complaints of chronic wrist pain in his left arm along with numbness and tingling sensation in the fingers is diagnosed with carpal tunnel syndrome. Which of the following is true in a client with carpal tunnel syndrome?
 
  A) The client exhibits increased symptoms during the day.
  B) The client exhibits positive Tinel's signs.
  C) The client's grip is usually unaffected.
  D) The client has an inflamed wrist joint.

[krakiolit]

Answer to Question 1

D
Feedback:
Abnormal breath sounds are rales, rhonchi, or crackles, wheezes, or stridor. Eupnea describes a normal rate for breath sounds.

Answer to Question 2

B
Feedback:
Clients with carpal tunnel syndrome exhibit positive Tinel's signs. This is demonstrated by tapping of the median nerve, resulting in paresthesia and pain of the thumb and first three fingers. Symptoms of carpal tunnel syndrome often increase during the night, not during the day. The client's grip is affected and is usually weak. Carpal tunnel syndrome is not caused by inflammation of the wrist joint; this condition occurs owing to compression of the median nerve in the wrist caused by repetitive movements, such as knitting or frequent use of the keyboard.