The nurse is caring for a client experiencing laryngeal trauma. Upon assessment, swelling and bruising is noted to the neck. Which breath sound is anticipated?
a) Crackles in the bases of the lungs
b) Diminished breath sounds throughout
c) Audible stridor without using a stethoscope
d) Rhonchi in the bronchial region
Answer: c) Audible stridor without using a stethoscope
Explanation:
The nurse anticipates hearing audible stridor without needing a stethoscope due to the neck swelling narrowing the airway. Rhonchi in the bronchial region is heard lower in the airways and crackles are heard in the bases of the lungs. Diminished breath sounds that occur throughout are indicative of airway obstruction and not indicative of laryngeal swelling. pg.472
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