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    Ati lpn n113 pharmacology proctored exam

    Upon auscultation of breath sounds, a nurse hears popping noises on inspiration and expiration. These sounds are indicative of which of these conditions?

    Explanation & Rationale

    A. Obstructed or narrowed airways as in bronchospasm: Bronchospasm typically causes wheezing, a high-pitched musical sound heard mainly on expiration due to narrowed airways. It does not produce the popping or crackling noises. B. Inflammation of the pleura: Pleural inflammation leads to pleural friction rubs, which are grating or creaking sounds heard during both inspiration and expiration. These sounds are lower-pitched and different from the fine or coarse crackles associated with fluid. C. Fluid accumulation in the lungs: Popping noises, or crackles (rales), are classic signs of fluid in the alveoli, often due to conditions like pulmonary edema or pneumonia. These sounds are usually heard on inspiration but may also occur on expiration in severe cases. D. Obstruction due to secretions blocking the airway: Secretions cause rhonchi, which are coarse, low-pitched sounds that may clear with coughing. These differ in character from the fine or coarse crackles heard with fluid accumulation in lung tissue.

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