NCLEX PN Exam Practice Test Practice Question
The nurse is auscultating an elderly bedridden client's breath sounds and hears crackles. What is the best interpretation of this finding?
Correct Answer: C
Rationale: Crackles, or rales, heard during auscultation typically indicate fluid in the airways or alveoli, often due to conditions like atelectasis or pulmonary congestion. While some elderly individuals may have variations in breath sounds, crackles are not considered normal. Option B suggests a life-threatening condition, which may not be the case; crackles can indicate less acute issues. Option D implies a need for oxygen, but the immediate intervention should focus on improving lung expansion through deep breathing. Therefore, encouraging deep breaths is the most appropriate response to address the crackles.
Unlock All Questions
Subscribe to Premium for full access to all practice questions, detailed rationales, and performance tracking.
Subscribe Now