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 C
Explanation
A) Incorrect. Prolonged sitting during travel, especially on long flights, can increase the risk of pulmonary embolism due to immobility.
B) Incorrect. Long-term anticoagulant therapy is often prescribed to reduce the risk of pulmonary embolism, not increase it.
C) Correct. Prolonged immobility, such as sitting for long hours or bed rest, is a significant risk factor for pulmonary embolism.
D) Incorrect. Recent surgery, trauma, or hospitalization can increase the risk of developing pulmonary embolism due to factors such as immobility and altered blood clotting.
Correct Answer is C
Explanation
A) Incorrect. Anhedonia refers to the inability to experience pleasure and is not the best description of the client's symptom.
B) Incorrect. Euphoria is a state of intense happiness or elation, which is not consistent with the client's report.
C) Correct. The client's feeling of impending doom and restlessness is characteristic of anxiety, which can occur in response to a pulmonary embolism.
D) Incorrect. Apathy refers to a lack of interest or emotion and does not describe the client's state of restlessness and fear.
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