Author Question: Upon auscultation of breath sounds, a nurse hears a high pitched, whistlelike sound both on ... (Read 50 times)

dejastew · **on:** Jul 22, 2018

Upon auscultation of breath sounds, a nurse hears a high pitched, whistlelike sound both on inspiration and expiration. These sounds are indicative of which of these conditions?

a. fluid accumulation in the lungs
b. inflammation of the pleura
c. obstructed or narrowed airways as in bronchospasm
d. obstruction due to secretions blocking the airway

Question 2

A nurse needs to perform the Heimlich maneuver on an 8-month-old infant with a partial airway obstruction. Which of the following actions should the nurse perform?

A) Support the client with a safety belt on a table.
B) Use the heel of one hand to administer back slaps.
C) Use finger sweeps to locate the obstruction.
D) Give a series of subdiaphragmatic thrusts.

xiaomengxian · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
Auscultation of the duration, pitch, and intensity of breath sounds at different locations provides additional information about respiratory status. A high-pitched, whistlelike sound both on inspiration and expiration may be caused from an obstructed or narrowed airway as in bronchospasm.

Answer to Question 2

B
Feedback:
For infants, the nurse or rescuer uses the heel of one hand to administer five back slaps between the shoulder blades. The rescuer supports the baby over his or her forearm, not with a safety belt on a table or stretcher. The nurse does not use finger sweeps unless the nurse can see the obstructing object. The nurse does not give a series of subdiaphragmatic thrusts to infants but rather to children between 1 and 8 years of age; chest thrusts are used in the resuscitation of infants.