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)

Answer and Explanation

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.

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Correct Answer is B

Explanation

A) Incorrect. An echocardiogram does not visualize blood clots in the pulmonary arteries; it focuses on assessing heart function and structure.

B) Correct. An echocardiogram provides valuable information about heart valve function and heart structure, helping assess the impact of a pulmonary embolism on the heart.

C) Incorrect. Measurement of arterial blood gases (ABGs) is typically performed through blood sampling, not with an echocardiogram.

D) Incorrect. Echocardiograms do not evaluate lung function and ventilation; they primarily assess cardiac function.

A. To increase heart rate B. To reduce anxiety C. To improve oxygen saturation and tissue oxygenation D. To lower blood pressure

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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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?

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Naxlex Comprehensive Predictor Exams

A client is undergoing an echocardiogram as part of the diagnostic workup for suspected pulmonary embolism. What information can an echocardiogram provide in this context?

Correct Answer is B

Explanation

A client diagnosed with pulmonary embolism is receiving oxygen therapy. What is the primary goal of oxygen therapy in this situation?

Correct Answer is C

Explanation

A client with a history of recurrent pulmonary embolism is prescribed long-term anticoagulant therapy. What medication is commonly used for long-term anticoagulation in this situation?

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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?

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A nurse is caring for a client with suspected pulmonary embolism. The client's oxygen saturation drops significantly, and the nurse observes cyanosis of the lips and nail beds. Which term best describes this clinical finding?

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