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    ATI NURS 190 Physical Assessment Proctored Exam

    A nurse is auscultating the breath sounds of a client who has chronic obstructive pulmonary disease.When the client exhales, the nurse hears continuous high-pitched whistling sound.The nurse should document this as?

    Explanation & Rationale

    Choice A rationaleRhonchi are low-pitched, coarse sounds typically heard during expiration, associated with secretions in large airways, not high-pitched continuous sounds.Choice B rationaleStridor is a high-pitched sound heard during inspiration, typically indicating upper airway obstruction.Choice C rationaleWheezes are continuous high-pitched whistling sounds heard during expiration, common in conditions like chronic obstructive pulmonary disease, where airway narrowing is present.Choice D rationaleCrackles are discontinuous sounds heard during inspiration, usually associated with fluid in the lungs or alveolar opening, not continuous high-pitched sounds. .

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