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 A
Explanation
A. Unsaturated fats, such as those found in olive oil and fatty fish, can be beneficial for heart health and are preferred in a cardiac diet.
B. Trans fats and saturated fats are associated with increased risk of cardiovascular disease and should be limited.
C. Saturated fats, found in animal products and some oils, should be limited in a heart-healthy diet.
D. Hydrogenated fats contain trans fats, which should be minimized in the diet due to their negative impact on cardiovascular health.
Correct Answer is A
Explanation
A. Giving false assurance involves offering reassurance without adequate evidence or knowledge, and it can block effective communication.
B. Changing the subject is a different types of communication blocks but not applicable to the nurse's response in this scenario.
C. Being judgmental is a different types of communication blocks but not applicable to the nurse's response in this scenario.
D. Giving advice is a different types of communication blocks but not applicable to the nurse's response in this scenario.
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