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The nurse is assessing a 1-day post-operative client and discovers fine crackles at the bases of the right lung on inspiration. What does the nurse suspect is the cause of the adventitious lung sounds in the right lung?

Asthma

Pneumothorax

Atelectasis

Emphysema

Bronchitis

Answer and Explanation

The Correct Answer is C

A. Asthma typically presents with wheezing, not fine crackles.

B. Pneumothorax usually presents with decreased or absent breath sounds rather than crackles.

C. Atelectasis, which is common after surgery, can cause fine crackles at the lung bases due to collapsed alveoli reopening during inspiration.

D. Emphysema generally results in diminished breath sounds and hyper-resonance rather than crackles.

E. Bronchitis typically produces coarse crackles or rhonchi, not fine crackles.

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A. A client demonstrates how to inject insulin into the abdomen B. A client attends a course on exercise techniques C. A client watches the nurse apply a dressing D. A client lists food choices that are considered part of a healthy diet E. A client nods when told how to take the blood pressure medication

Correct Answer is ["A","D"]

Explanation

A. Demonstrating an insulin injection shows hands-on learning and mastery of the skill.

B. Attending a course does not confirm comprehension or skill.

C. Watching a nurse apply a dressing does not guarantee learning; active participation is necessary.

D. Listing healthy food choices indicates understanding of dietary education.

E. Nodding does not confirm learning; it may only indicate acknowledgment.

A. Decreased lung sounds on expiration B. Respirations are 40 breaths/minute C. Anterior-posterior diameter ratio is 1:1 D. Hyperresonance is noted to percussion E. Decreased tactile fremitus is present

Correct Answer is B

Explanation

A. Decreased lung sounds on expiration are common in COPD patients due to airway obstruction but do not necessarily indicate an acute issue.

B. Respirations are 40 breaths/minute is a critical finding, as this rapid respiratory rate suggests significant respiratory distress or worsening hypoxemia, which needs immediate intervention to prevent further complications.

C. An anterior-posterior diameter ratio of 1:1 (barrel chest) is a common finding in advanced COPD but does not indicate acute worsening.

D. Hyperresonance to percussion is typical in patients with COPD due to air trapping and does not suggest an immediate emergency.

E. Decreased tactile fremitus may occur in COPD due to increased air trapping but is not an urgent finding requiring immediate reporting.

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The nurse is assessing a 1-day post-operative client and discovers fine crackles at the bases of the right lung on inspiration. What does the nurse suspect is the cause of the adventitious lung sounds in the right lung?

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Correct Answer is ["A","D"]

Explanation

Correct Answer is B

Explanation

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Take full exam for free The nurse is assessing a 1-day post-operative client and discovers fine crackles at the bases of the right lung on inspiration. What does the nurse suspect is the cause of the adventitious lung sounds in the right lung?

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Which of the following scenarios gives the most absolute confirmation client learning has taken place? Select all that apply.

Correct Answer is ["A","D"]

Explanation

The nurse obtains information when performing a focused assessment of a client with chronic obstructive pulmonary disease (COPD) who has been admitted with increasing dyspnea (shortness of breath) over the last 3 days. Which finding is most important to report to the health care provider?

Correct Answer is B

Explanation

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The nurse is assessing a 1-day post-operative client and discovers fine crackles at the bases of the right lung on inspiration. What does the nurse suspect is the cause of the adventitious lung sounds in the right lung?