While conducting a physical examination of the cardiovascular system, the nurse hears fine crackles on auscultation of the lungs. This finding is most likely a manifestation of which problem?
Dextrocardia
Hypertension
Palpitations
Left-sided heart failure
The Correct Answer is D
A. Dextrocardia is a condition where the heart is located on the right side of the chest and does not typically cause crackles in the lungs.
B. Hypertension may lead to cardiovascular complications but is not directly associated with crackles in the lungs.
C. Palpitations are related to sensations of irregular or rapid heartbeats, not crackles in the lungs.
D. Fine crackles in the lungs are often associated with left-sided heart failure due to fluid accumulation in the lungs from compromised cardiac function.
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Related Questions
Correct Answer is C
Explanation
A. Pancreatic cancer: Typically associated with abdominal pain, weight loss, and jaundice rather than a burning sensation in the esophagus.
B. Acute pancreatitis: Causes severe abdominal pain, nausea, and vomiting, but not usually a burning sensation in the esophagus.
C. Acid reflux: Also known as gastroesophageal reflux disease (GERD), this condition commonly causes a burning sensation in the esophagus after eating.
D. Gastric ulcer: Generally causes pain in the upper abdomen and may be associated with indigestion, but not specifically a burning sensation in the esophagus.
Correct Answer is D
Explanation
A. Thigh muscles: While thigh muscles assist in venous return, they are not as critical as the calf muscles in moving blood from the feet.
B. Arterial pulsations: Arterial pulsations help in the forward movement of blood in the arteries but do not directly assist with venous return from the feet.
C. Venous flow: Venous flow is the general term for blood movement in veins, but it does not specify the mechanism responsible for moving blood from the feet.
D. Calf muscles: The calf muscles, through their contraction (often referred to as the "muscle pump"), are crucial in helping to push blood upwards from the feet towards the inferior vena cava. This mechanism is essential for effective venous return.
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