25. Because of the client's pleural effusion and advanced lung disease, the nurse frequently listens to the client's breath sounds . What would the nurse expect to hear when assessing the breath sounds? A. Wheezing in the upper lobes B. A friction rub posterior to the affected area C. Increased sounds over the involved area D. Decreased sounds over the involved area 26. An adult has a chest drainage system.Several hours after the chest tube was inserted the nurse observes that there is no bubbling in the water seal chamber. What is the most likely reason for the absence of bubbling? A. The client's lungs have expanded B. There is an obstruction in the tubing coming from the client. C. There is a mechanical problem in the suction control chamber D. Air is leaking into the drainage apparatus. 27. A 79-year-old client was admitted to the hospital with a diagnosis of pneumonia .The client has dyspnea. The client's ; temperature was 102^circ F , respiration was 28 breaths per minute, and pulse was 90 beats per minute. Bed rest was ordered for this client primarily to __ A. Promote thoracic expansion. B. Prevent the development of atelectasis. C. Decrease work of breathing. D. Prevent other infections. 28. An adult patient is admitted with chronic obstructive pulmonary disease (COPD). The ward nurse notes that he has neck vein distention and slight peripheral edema The nurse continues frequent assessments because she/he knows that these signs indicate the onset of which of the following? A. Pneumothorax C. Cardiogenic shock B. Cor pulmonale D. Left-sided heart failure

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25. Because of the client's pleural effusion and advanced lung disease, the nurse frequently listens to the client's breath sounds . What would the nurse expect to hear when assessing the breath sounds? A. Wheezing in the upper lobes B. A friction rub posterior to the affected area C. Increased sounds over the involved area D. Decreased sounds over the involved area 26. An adult has a chest drainage system.Several hours after the chest tube was inserted the nurse observes that there is no bubbling in the water seal chamber. What is the most likely reason for the absence of bubbling? A. The client's lungs have expanded B. There is an obstruction in the tubing coming from the client. C. There is a mechanical problem in the suction control chamber D. Air is leaking into the drainage apparatus. 27. A 79-year-old client was admitted to the hospital with a diagnosis of pneumonia .The client has dyspnea. The client's ; temperature was 102^circ F , respiration was 28 breaths per minute, and pulse was 90 beats per minute. Bed rest was ordered for this client primarily to __ A. Promote thoracic expansion. B. Prevent the development of atelectasis. C. Decrease work of breathing. D. Prevent other infections. 28. An adult patient is admitted with chronic obstructive pulmonary disease (COPD). The ward nurse notes that he has neck vein distention and slight peripheral edema The nurse continues frequent assessments because she/he knows that these signs indicate the onset of which of the following? A. Pneumothorax C. Cardiogenic shock B. Cor pulmonale D. Left-sided heart failure

Answer 1

25. D. Decreased sounds over the involved areaExplanation: In the case of pleural effusion and advanced lung disease, the nurse would expect to hear decreased breath sounds over the involved area. This is because the presence of fluid in the pleural space can lead to reduced airflow and decreased lung expansion, resulting in diminished breath sounds.26. A. The client's lungs have expandedExplanation: The absence of bubbling in the water seal chamber of a chest drainage system indicates that the client's lungs have expanded. This is because the bubbling in the water seal chamber is caused by air being pulled into the system as the lungs expand. If there is no bubbling, it suggests that the lungs have re-expanded and the air is no longer being pulled into the system.27. C. Decrease work of breathingExplanation: Bed rest is ordered for a client with pneumonia primarily to decrease the work of breathing. By reducing physical activity, the client's body can conserve energy and focus on fighting the infection. This helps to prevent further strain on the respiratory system and allows for better oxygenation and recovery.28. B. Cor pulmonaleExplanation: Neck vein distention and slight peripheral edema in a patient with chronic obstructive pulmonary disease (COPD) are signs of cor pulmonale, which is right-sided heart failure caused by long-term high blood pressure in the pulmonary arteries. This condition can lead to fluid buildup in the veins and peripheral edema.

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