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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Diaphragm on one side, bell on the opposite side: Suitable for a full cardiac examination, as it can assess both high and low-frequency sounds.
B. Diaphragm Only: Less suitable for a full cardiac examination because it may not effectively capture low-frequency sounds such as certain heart murmurs.
C. Bell on one side, Diaphragm on the opposite side: Effective for a full cardiac examination, as it can assess both high and low-frequency sounds.
D. Diaphragm and bell on same side: Allows for a complete assessment of heart sounds, though it may be less versatile than separate components on each side.
Correct Answer is A
Explanation
A. I: A grade I murmur is very faint and may not be heard immediately without careful listening. The description of a murmur heard immediately upon placing the stethoscope indicates it is a grade I.
B. X: There is no grade X in the standard grading scale for heart murmurs.
C. II: A grade II murmur is quiet but easily heard with a stethoscope and would generally be more audible than described.
D. III: A grade III murmur is moderately loud and would be heard without difficulty. The description suggests a quieter murmur.
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