The nurse should be of most concern regarding bilateral crackles in the lungs.
Bilateral crackles are defined as having crackles in both lungs. Crackles that appear to have their origins in or close to the base of the lung are called basal crackles. Bibasal crackles are defined as crackles in both the left and right lungs. The term "bilateral basal crackles" also describes the existence of basal crackles in both lungs.
Patients with interstitial lung disease, pneumonia, atelectasis, pulmonary fibrosis, acute bronchitis, bronchiectasis, acute respiratory distress syndrome (ARDS), post-thoracotomy, or metastatic ablation may hear crackles. Additionally, crackling might result from pulmonary edema brought on by left-sided congestive heart failure.
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