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A nurse is caring for a patient who had a myocardial infarction five days ago. The patient has a sudden onset of shortness of breath and begins coughing frothy, pink sputum. The nurse auscultates loud, bubbly sounds on inspiration. Which of the following adventitious breath sounds should the nurse document?

A) Wheezes
B) Crackles
C) Rhonchi
D) Pleural friction rub

User Vyacheslav
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1 Answer

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Final answer:

The nurse should document the adventitious breath sounds as crackles, which are associated with fluid in the lungs and are indicative of complications such as pulmonary edema following a myocardial infarction.

Step-by-step explanation:

The patient who had a myocardial infarction and is now experiencing shortness of breath, coughing frothy, pink sputum, and loud, bubbly sounds on inspiration likely has pulmonary edema, which is a common complication following a myocardial infarction. The adventitious breath sounds the nurse should document in this case are crackles. Crackles are heard when there is fluid in the air spaces of the lungs during inspiration and are commonly associated with heart conditions that can lead to pulmonary edema. They are distinct from wheezes, which are more indicative of airway obstruction, rhonchi, which suggest larger airway secretions, and pleural friction rub, which indicates inflammation of the pleural surfaces.

User Mark Tabler
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