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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?

A.

Asthma

B.

Pneumothorax

C.

Atelectasis

D.

Emphysema

E.

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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View Related questions

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.

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

Explanation

A. A febrile state indicates that the client may not be in an optimal condition to learn effectively, so postponing the session is appropriate.

B. Mild anxiety may not require postponement, as it can be addressed during teaching.

C. Nausea can significantly impair concentration and engagement in learning, warranting a delay.

D. A pain level of 8 out of 10 suggests significant discomfort, making it challenging for the client to focus on learning.

E. Asking questions indicates engagement and a readiness to learn, so this does not warrant postponing the session.

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