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Practice Question

A nurse is auscultating the breath sounds of a client who has asthma. When the client exhales, the nurse hears a whistle or musical noise. The nurse should document this as which of the following adventitious lung sounds? 

Answer Choices:

Correct Answer:

Wheezes

Rationale:

💎 Wheezes are high-pitched, musical, or whistling sounds heard primarily during expiration, caused by airflow through narrowed or constricted airways.

💎 In asthma, airway narrowing occurs due to bronchospasm, inflammation, and mucus buildup, making it difficult for air to exit the lungs.

💎 Wheezes are often bilateral and may vary in intensity with the severity of obstruction — the tighter the airway, the higher the pitch.

💎 When wheezing suddenly stops in a client with severe asthma, it can indicate worsening obstruction or impending respiratory failure, requiring immediate intervention.

💎 Nursing care includes administering prescribed bronchodilators (e.g., albuterol), monitoring oxygen saturation, and reassessing breath sounds after treatment.

Want to practice more questions like this?

This question is from PN-CUSTOM GAS EXCHANGE AND OXYGENATION CLONED ASSESSMENT 2 which contains 50 questions.

More Questions from This Exam
The nurse is assessing a client for signs of hypoxia. Which findings should the nurse expect? (Select All that Apply.) 

Answer Choices:

A. Tachypnea
B. Cyanosis
C. Restlessness
D. SpO2 between 95-100%
E. Unlabored breathing
 A client is scheduled for postural drainage. Which action should the nurse take before the procedure? 

Answer Choices:

A. Restrict fluids for 8 hours
B. Place the client in a supine position with the head elevated
C. Encourage the client to eat a meal to increase energy
D. Administer prescribed bronchodilator or mucolytic medication
 What is the primary function of the alveoli in the respiratory system? 

Answer Choices:

A. To facilitate gas exchange between oxygen and carbon dioxide
B. To transport oxygen to tissues
C. To produce pleural fluid
D. To filter and humidify inhaled air
From Exam
PN-CUSTOM GAS EXCHANGE AND OXYGENATION CLONED ASSESSMENT 2

50 Questions

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Question Details
  • Category: LPN Nursing Exam(s)
  • Subcategory: LPN ATI Exams
  • Domain: Medical-Surgical
  • Answer Choices: 4
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