A client with a history of myocardial infarction (MI) develops pulmonary edema. Which pathophysiological process is likely occurring in this client, leading to fluid accumulation in the lungs?

Increased myocardial contractility

Reduced afterload on the heart

Left ventricular remodeling

Enhanced pulmonary vasodilation

Answer and Explanation

The Correct Answer is C

A) Incorrect. Increased myocardial contractility would not typically lead to left ventricular remodeling but might improve cardiac function.

B) Incorrect. Reduced afterload on the heart may be beneficial, but it is not a primary factor in left ventricular remodeling.

C) Correct. Left ventricular remodeling, often occurring after a myocardial infarction, involves changes in the size and shape of the ventricle, which can impair cardiac function and lead to pulmonary edema.

D) Incorrect. Enhanced pulmonary vasodilation is not a primary cause of left ventricular remodeling or pulmonary edema.

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Correct Answer is C

Explanation

A) Incorrect. Atrial contraction contributes to ventricular filling but is not typically the primary site of impairment in heart failure leading to pulmonary edema.

B) Incorrect. Ventricular relaxation (diastole) is necessary for ventricular filling, but the impaired contraction during systole is a more common issue in heart failure.

C) Correct. Impaired ventricular contraction (systole) in heart failure results in reduced forward flow of blood and leads to fluid backup in the lungs, contributing to pulmonary edema.

D) Incorrect. Electrical conduction in the heart may affect heart rhythm but is not directly related to the development of pulmonary edema.

A. Regular exercise regimen B. Smoking cessation C. Hypertension control D. Prior heart muscle damage

Correct Answer is D

Explanation

A) Incorrect. Regular exercise is generally beneficial for heart health and would not increase the risk of pulmonary edema.

B) Incorrect. Smoking cessation is a positive health behavior and does not increase the risk of pulmonary edema.

C) Incorrect. Hypertension control is important for reducing the risk of heart-related complications and pulmonary edema.

D) Correct. Prior heart muscle damage, such as from a myocardial infarction (MI), increases the risk of heart failure and subsequently pulmonary edema.

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A client with a history of myocardial infarction (MI) develops pulmonary edema. Which pathophysiological process is likely occurring in this client, leading to fluid accumulation in the lungs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with heart failure develops pulmonary edema. Which part of the heart's pumping action is impaired in this condition, leading to fluid backup in the lungs?

Correct Answer is C

Explanation

A nurse is caring for a client with a history of myocardial infarction (MI). Which factor related to the client's medical history increases the risk of developing pulmonary edema?

Correct Answer is D

Explanation

A nurse is caring for a client undergoing diagnostic evaluation for suspected pulmonary edema. Which finding on an arterial blood gas (ABG) analysis is consistent with pulmonary edema?

A client is experiencing difficulty breathing and presents with pink, frothy sputum. What term is commonly used to describe this clinical presentation associated with pulmonary edema?

A client with pulmonary edema complains of a feeling of "suffocation." Which physiological mechanism contributes to this sensation in pulmonary edema?

A client presents to the emergency department with suspected pulmonary edema. Which symptom is most commonly associated with acute pulmonary edema?

A nurse is caring for a client with acute pulmonary edema. Which intervention should the nurse prioritize to improve the client's oxygenation?

A nurse is caring for a client with pulmonary edema. Which assessment finding should the nurse prioritize when monitoring the client's respiratory status?

A client is being evaluated for pulmonary edema. Which cardiac condition is a common etiological factor for the development of pulmonary edema?

A client with pulmonary edema is prescribed diuretic therapy. What should the nurse monitor for as a potential side effect of diuretic administration?