Answer to Question 1
D
D. CracklesFine crackles are high-pitched, fine, short, interrupted crackling sounds heard during end of inspiration, usually not cleared with coughing.
A. RhonchiLoud, low-pitched, rumbling coarse sounds heard most often during inspiration or expiration; may be cleared by coughing.
B. WheezesHigh-pitched, continuous musical sounds like a squeak heard continuously during inspiration or expiration; usually louder on expiration; do not clear with coughing.
C. Pleural friction rubDry, grating quality heard best during inspiration; does not clear with coughing; heard loudest over lower lateral anterior surface.
Answer to Question 2
A
Controversy continues over the best solution for irrigating the eye in a health care setting. When a choice of normal intravenous (IV) solutions is available, lactated Ringer's solution is more effective than normal saline in restoring pH after a chemical burn to the eye. Often cool tap water is recommended for emergency eye flushing because it is effective and immediately available for first aid. Nevertheless, controversy continues over the best solution for irrigating the eye in a health care setting. Dextrose and water usually are not used for eye irrigation.
The nurse conducts the health history as the first step in the nursing assessment
Summation of Heart Sounds, Normal S2
The nurse cares for the postop client in the postanesthesia care unit (PACU).
A nurse administers an intermittent bolus feeding.
Weber test: Place the base of the tuning fork on top of the client’s head.
Testing client’s ability to identify sharp sensations