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.
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Related Questions
Correct Answer is C
Explanation
A) Incorrect. This description is more related to coronary artery blockages, not pulmonary embolism.
B) Incorrect. This describes a different lung condition called pneumonia, not pulmonary embolism.
C) Correct. A pulmonary embolism is a blockage in the pulmonary arteries, typically caused by a blood clot traveling from elsewhere in the body.
D) Incorrect. This describes a characteristic of chronic obstructive pulmonary disease (COPD), not pulmonary embolism.
Correct Answer is C
Explanation
A) Incorrect. Pulmonary embolism does not directly affect the bronchial tubes or cause airway constriction.
B) Incorrect. While inflammation can occur as a response to pulmonary embolism, its primary impact is on blood flow, not the alveoli.
C) Correct. The main effect of pulmonary embolism is the disruption of blood flow to lung tissue, reducing oxygen supply.
D) Incorrect. Excessive mucus production is not a characteristic effect of pulmonary embolism.
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