A client suspected of having a pulmonary embolism complains of sudden chest pain and difficulty breathing. The nurse auscultates the client's chest and notes crackling sounds during inspiration. Which term describes these crackling sounds?
Wheezing
Rhonchi
Stridor
Rales (crackles)
The Correct Answer is D
A) Incorrect. Wheezing is a high-pitched whistling sound that occurs during expiration and is not associated with crackling sounds.
B) Incorrect. Rhonchi are continuous low-pitched sounds heard during both inspiration and expiration, usually due to airway obstruction.
C) Incorrect. Stridor is a high-pitched, crowing sound that occurs during inspiration and suggests upper airway obstruction.
D) Correct. Rales, also known as crackles, are crackling or popping sounds heard during inspiration and can be indicative of fluid or inflammation in the lungs, which can occur with pulmonary embolism.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Incorrect. Surgery does increase the risk of pulmonary embolism, especially when accompanied by immobility.
B) Correct. Prolonged immobility, birth control pills, and obesity are known risk factors for post-surgery pulmonary embolism.
C) Incorrect. While smoking and caffeine intake can impact lung health, they are not the primary risk factors for post-surgery pulmonary embolism.
D) Incorrect. While a family history of clotting disorders can contribute to the risk, it is not a common risk factor discussed in the context of post-surgery pulmonary embolism.
Correct Answer is C
Explanation
A) Incorrect. Oxygen therapy is not administered to increase heart rate but rather to improve oxygen delivery to tissues.
B) Incorrect. While oxygen therapy may help alleviate anxiety related to shortness of breath, its primary goal is to address oxygenation.
C) Correct. The primary goal of oxygen therapy in pulmonary embolism is to improve oxygen saturation and tissue oxygenation, as pulmonary embolism can lead to decreased oxygen levels in the blood.
D) Incorrect. Oxygen therapy is not used to lower blood pressure but rather to address oxygenation and tissue oxygen delivery.
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