A seven-year-old presents to the clinic with an exacerbation of ...

[CORALGRILL2014]

A seven-year-old presents to the clinic with an exacerbation of asthma symptoms. On physical exam, the nurse would expect which of the following findings? Standard Text: Select all that apply.
 
  1. Increased tactile fremitus
  2. Decreased vocal resonance
  3. Bronchophony
  4. Decreased tactile fremitus
  5. Wheezing

Question 2

A newborn is admitted to the neonatal intensive care unit (NICU). The parents are concerned because they cannot stay for long hours to visit. Which statement made by the nurse is most appropriate?
 
  1. Why can't you visit after work every day?
  2. One of you could take a leave of absence to be here more.
  3. Perhaps the grandparents can make the visits for you.
  4. Parents often feel this way; you can call any time to see how your baby is doing.

[cam1229]

Answer to Question 1

2,4,5
Rationale 1: An increase in tactile fremitus is indicative of pneumonia.
Rationale 2: Asthma causes a decreased vocal resonance, as edema makes it more difficult for the sound to project.
Rationale 3: Bronchophony is an increase in the intensity and clarity of transmitted sounds that also is indicative of pneumonia.
Rationale 4: The air trapping in the lungs that occurs with asthma causes a decrease in the sensation of vibrations or a decreased tactile fremitus.
Rationale 5: Wheezing is caused by air passing through mucus or fluids in a narrowed lower airway, and it is a condition frequently present in asthma exacerbations.
Global Rationale:

Answer to Question 2

4
Rationale 1: This statement does not focus on how the parents feel and may increase their feelings of guilt.
Rationale 2: This statement does not focus on how the parents feel and attempts to solve the issue rather than allow for the parents to deal with their feelings and form solutions. It may add to feelings of inadequacy.
Rationale 3: While grandparents visiting may increase their comfort about their baby, it will not reduce the parents' feelings of guilt.
Rationale 4: This statement is therapeutic; it focuses on feelings and offers support to the parents.
Global Rationale:

[CORALGRILL2014]

Gracias!

[juliaf]

TYSM