Asked by Daniel Tapia-Hernandez on May 18, 2024
Verified
A nurse is assessing several patients. Which assessment findings will cause the nurse to follow up? (Select all that apply.)
A) Orthopnea
B) Nonpalpable lymph nodes
C) Pleural friction rub present
D) Crackles in lower lung lobes
E) Grade 5 muscle function level
Orthopnea
Abnormal condition in which a person must sit or stand to breathe comfortably.
Pleural Friction Rub
Adventitious lung sound caused by inflamed parietal and visceral pleura rubbing together on inspiration.
Crackles
Fine bubbling sounds heard on auscultation of the lung; produced by air entering distal airways and alveoli, which contain serous secretions.
- Perform evaluations for particular ailments like renal inflammation, comprehending the techniques and reasoning underlying each.
- Differentiate the applications of the bell and diaphragm on a stethoscope for diverse evaluations.
- Implement appropriate methods for distinct evaluations, encompassing the examination of the tympanic membrane in infants and identifying clinical indicators in patients.
Verified Answer
PM
Priscilla MendezMay 24, 2024
Final Answer :
A, C, D
Explanation :
Abnormal findings will cause a nurse to follow up. Orthopnea is abnormal and indicates cardiovascular or respiratory problems. Pleural friction rub is abnormal and indicated an inflamed pleura. Crackles are adventitious breath sounds and indicate random, sudden reinflation of groups of alveoli, indicating disruptive passage of air through small airways. Lymph nodes should be nonpalpable; palpable lymph nodes are abnormal. Grade 5 muscle function is normal. A 160-degree angle between nail plate and nail is normal; a larger degree angle is abnormal and indicates clubbing.
Learning Objectives
- Perform evaluations for particular ailments like renal inflammation, comprehending the techniques and reasoning underlying each.
- Differentiate the applications of the bell and diaphragm on a stethoscope for diverse evaluations.
- Implement appropriate methods for distinct evaluations, encompassing the examination of the tympanic membrane in infants and identifying clinical indicators in patients.