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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Incorrect. Intravenous antibiotics are not typically used as the initial treatment for pulmonary embolism. Antibiotics are used to treat bacterial infections, not blood clots.
B) Correct. Anticoagulant therapy, such as heparin or low-molecular-weight heparin, is often the initial treatment for pulmonary embolism to prevent further clot formation and reduce the risk of complications.
C) Incorrect. Emergency surgical removal of the embolism is considered in severe cases but is not the common initial treatment approach.
D) Incorrect. Placement of a chest tube for drainage is not a standard treatment for pulmonary embolism; it is used for conditions involving pleural effusion or pneumothorax.
Correct Answer is C
Explanation
A) Incorrect. While surgical trauma can be a risk factor, it is not solely associated with incisions and scars.
B) Incorrect. The risk of pulmonary embolism after surgery is not low, and specific factors do contribute to the risk.
C) Correct. Prolonged immobility, surgical trauma, and changes in blood clotting are common risk factors for post-surgery pulmonary embolism.
D) Incorrect. Excessive fluid intake during recovery is not a primary risk factor for post-surgery pulmonary embolism.
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