A client with a diagnosis of pleural inflammation is admitted to the hospital with respiratory distress. Which type of adventitious lung sounds should the nurse expect to hear upon auscultation?

A. Wheezes are high-pitched, continuous sounds that occur during expiration (and sometimes inspiration) due to narrowed airways, commonly seen in conditions like asthma or chronic bronchitis. They are not typically associated with pleural inflammation. B. This description matches a pleural friction rub. A pleural friction rub is a low-pitched, grating or rubbing sound that occurs when inflamed pleural surfaces rub against each other. It is characteristic of pleural inflammation and is best heard during both inspiration and expiration. This sound results from the roughened pleural surfaces due to inflammation and is the expected finding in a patient with pleuritis. C. Crackles (or rales) are discontinuous, high-pitched sounds heard typically during inspiration, caused by the opening of collapsed or fluid-filled alveoli. They are commonly associated with conditions like pneumonia, congestive heart failure, or pulmonary fibrosis, rather than pleural inflammation. D. Gurgling is not a standard term for describing lung sounds. It may refer to rhonchi, which are low- pitched, continuous sounds heard due to mucus or fluid in the larger airways. Rhonchi can be heard in conditions like bronchitis or pneumonia but are not specifically associated with pleural inflammation.