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 C

Explanation

A) Incorrect. tPA therapy is not primarily used for pain relief but rather for clot dissolution.

B) Incorrect. While improving lung function and oxygenation is a goal in treating pulmonary embolism, tPA's primary purpose is to dissolve existing blood clots.

C) Correct. tPA (tissue plasminogen activator) is a thrombolytic agent used to break down and dissolve existing blood clots in the pulmonary arteries, improving blood flow.

D) Incorrect. tPA is not used to prevent the formation of new blood clots but rather to treat existing clots.

A. "Having a sedentary lifestyle and sitting for prolonged periods can increase my risk of pulmonary embolism." B. "Pulmonary embolism is primarily caused by exposure to environmental pollutants and toxins." C. "Healthy individuals without any medical conditions are at the highest risk for pulmonary embolism." D. "Pulmonary embolism is only associated with specific genetic factors and not influenced by lifestyle."

Correct Answer is A

Explanation

A) Correct. Prolonged immobility and a sedentary lifestyle are significant risk factors for pulmonary embolism.

B) Incorrect. Environmental pollutants and toxins are not primary causes of pulmonary embolism.

C) Incorrect. While healthy individuals can also develop pulmonary embolism, various factors contribute to its risk.

D) Incorrect. Lifestyle factors, as well as medical conditions, can contribute to the risk of 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 caring for a client with a pulmonary embolism who is receiving tissue plasminogen activator (tP therapy. What is the primary purpose of tPA in this situation?

Correct Answer is C

Explanation

A nurse is educating a client about the risk factors for pulmonary embolism. Which statement made by the client indicates a correct understanding of the risk factors?

Correct Answer is A

Explanation

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 with a history of pulmonary embolism reports experiencing sudden shortness of breath, lightheadedness, and rapid heart rate. Which term best describes this clinical presentation?

A nurse is educating a client with pulmonary embolism about the importance of early recognition of symptoms. Which symptom should the client be advised to report immediately?

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?

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 educating a client diagnosed with pulmonary embolism about the treatment options. Which of the following interventions is a common initial treatment approach for pulmonary embolism?

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 nurse is caring for a client with suspected pulmonary embolism who is undergoing diagnostic testing. What diagnostic test is often used as an initial screening tool for pulmonary embolism?