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. Love and belonging needs are related to social interactions and relationships, not directly addressed by hand hygiene and sterile techniques.
B. Safety and security needs are met by practices such as careful hand hygiene and sterile techniques that prevent infection and ensure a safe environment.
C. Self-esteem needs involve self-respect and confidence, not directly addressed by the nurse's infection control measures.
D. Physiologic needs encompass basic requirements for survival, including hygiene and infection prevention, but safety and security needs are a more specific fit.
Correct Answer is D
Explanation
A. Black, tarry stools may indicate gastrointestinal bleeding but are not associated with abdominal cramping and frequent bowel movements.
B. Dry, odorous stools are not typical findings in a client experiencing abdominal cramping and frequent bowel movements.
C. Hard, formed stools are not consistent with the symptoms described by the client.
D. Loose, watery stools are indicative of frequent bowel movements and may be associated with abdominal cramping.
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