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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. Edema B. Shortness of breath C. Increase in appetite D. Extreme weight loss E. Jugular vein distended (enlarged)

Correct Answer is ["A","B","E"]

Explanation

A. Edema is a common finding in heart failure due to fluid retention.

B. Shortness of breath occurs due to fluid accumulation in the lungs, common in heart failure.

C. Increased appetite is not typical in heart failure; decreased appetite is more common.

D. Weight gain due to fluid retention is more common in heart failure, rather than extreme weight loss.

E. Jugular vein distention is a classic sign of right-sided heart failure due to increased central venous pressure.

A. Provides care that is based on meanings generated by predetermined criteria. B. Provides care that is based on the priorities of the hospital unit workflow. C. Provides care that is the same as the values of the professional health care system. D. Provides care that makes the nurse the leader in determining what is needed. E. Provides care that honors the client's differences and perspectives.

Correct Answer is E

Explanation

A. Providing care based on predetermined criteria may not be responsive to the unique cultural needs of each client.

B. Focusing solely on hospital unit workflow prioritizes efficiency over individualized patient care, which may not respect cultural differences.

C. This approach fails to acknowledge the diverse values and beliefs of clients, which can lead to miscommunication and unmet needs.

D. This implies a top-down approach to care, which may disregard the client’s preferences and cultural context.

E. Honoring the client's differences and perspectives demonstrates the nurse's commitment to culturally responsive care, ensuring that care is tailored to meet the unique needs of each client.

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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","B","E"]

Explanation

Correct Answer is E

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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Correct Answer is ["A","B","E"]

Explanation

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Correct Answer is E

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?