Author Question: A patient comes to the clinic complaining of a cough that is worse at night but not as bad during ... (Read 73 times)

Zoey63294 · **on:** Jun 25, 2018

A patient comes to the clinic complaining of a cough that is worse at night but not as bad during the day. The nurse recognizes that this cough may indicate:

a. Pneumonia.
b. Postnasal drip or sinusitis.
c. Exposure to irritants at work.
d. Chronic bronchial irritation from smoking.

Question 2

During auscultation of breath sounds, the nurse should correctly use the stethoscope in which of the following ways?

a. Listening to at least one full respiration in each location
b. Listening as the patient inhales and then going to the next site during exhalation
c. Instructing the patient to breathe in and out rapidly while listening to the breath sounds
d. If the patient is modest, listening to sounds over his or her clothing or hospital gown

Eunice618 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
A cough that primarily occurs at night may indicate postnasal drip or sinusitis. Exposure to irritants at work causes an afternoon or evening cough. Smokers experience early morning coughing. Coughing associated with acute illnesses such as pneumonia is continuous throughout the day.

Answer to Question 2

ANS: A
During auscultation of breath sounds with a stethoscope, listening to one full respiration in each location is important. During the examination, the nurse should monitor the breathing and offer times for the person to breathe normally to prevent possible dizziness.