The home care nurse visits a patient with a history of heart failure who has complaints of dyspnea. The nurse notes the patient has pitting edema in their feet and ankles. Based upon the patient's assessment, what additional finding might the nurse expect in regards to the patient's lung sounds?
Expiratory stridor
Crackles in the lower lobes
Bruit over the aorta
Inspiratory wheezes
The Correct Answer is B
A. Expiratory stridor is associated with airway obstruction and is not typically related to heart failure.
B. Crackles (rales) in the lower lobes are often indicative of fluid accumulation and pulmonary congestion, common in heart failure.
C. Bruit over the aorta is a vascular sound and is not directly related to lung sounds or heart failure.
D. Inspiratory wheezes are associated with airway obstruction, not typically seen in heart failure; crackles are more relevant in this context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Diarrhea, flatulence, and decreased turgor are not typically associated with hypoxia.
B. Hypoxia manifests with dyspnea (difficulty breathing), tachycardia (increased heart rate), and cyanosis (bluish discoloration of the skin).
C. Hypotension, edema, and erythema are not primary signs of hypoxia.
D. Chest pain, dry skin, and petechiae are not specific to hypoxia.
Correct Answer is D
Explanation
A. Laxative usage is more likely to cause diarrhea or loose stools rather than rectal pain from distended veins.
B. Paralytic ileus is characterized by a lack of bowel motility and is not associated with distention of veins in the rectum.
C. Diarrhea is unlikely to cause pain related to distention of rectal veins.
D. Hemorrhoids are swollen veins in the rectum and anus, causing pain and discomfort, especially during bowel movements.
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