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. Pregnancy can increase the risk of pulmonary embolism, especially during specific periods.

B) Correct. Pregnancy is a known risk factor for pulmonary embolism due to hormonal changes, increased clotting factors, and reduced mobility during pregnancy.

C) Incorrect. While the risk may be higher during the postpartum period, it can also occur during pregnancy.

D) Incorrect. While genetics can play a role, other factors associated with pregnancy contribute to the risk of pulmonary embolism.

A. Complete blood count (CBC) B. Arterial blood gas (ABG) analysis C. D-dimer assay D. Creatine kinase (CK) levels

Correct Answer is C

Explanation

A) Incorrect. A complete blood count (CBC) provides information about the composition of blood cells but is not specific to pulmonary embolism.

B) Incorrect. Arterial blood gas (ABG) analysis helps assess oxygen and carbon dioxide levels but is not a primary test for diagnosing pulmonary embolism.

C) Correct. The D-dimer assay measures a substance released when a blood clot breaks up. Elevated D-dimer levels can suggest the presence of a blood clot, but it is not specific to pulmonary embolism.

D) Incorrect. Creatine kinase (CK) levels are used to assess muscle damage and are not a primary test for diagnosing pulmonary embolism.

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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 nurse is teaching a client about the risk factors for pulmonary embolism. The client asks about the connection between pregnancy and pulmonary embolism risk. How should the nurse respond?

Correct Answer is B

Explanation

A client presents to the emergency department with suspected pulmonary embolism. What blood test can help assess the likelihood of pulmonary embolism and its severity?

Correct Answer is C

Explanation

A client with a history of pulmonary embolism asks the nurse about ways to prevent future episodes. What should the nurse include in the response?

A client recovering from major surgery asks a nurse about the risk of developing a pulmonary embolism postoperatively. What should the nurse include in the explanation of post-surgery risk factors?

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?

A client with pulmonary embolism is prescribed an inferior vena cava (IVC) filter. What is the primary purpose of an IVC filter in this situation?

A nurse is explaining the risk factors for developing deep vein thrombosis (DVT) to a client. The client asks about the connection between DVT and pulmonary embolism. What should the nurse tell the client?

A nurse is educating a client with a history of pulmonary embolism on lifestyle modifications to reduce the risk of recurrence. Which of the following recommendations is appropriate?

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

A nurse is educating a client about the signs and symptoms of a pulmonary embolism. Which symptom should the nurse emphasize as a common and concerning presentation of pulmonary embolism?