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 A

Explanation

A) Correct. Pink, frothy sputum is often referred to as hemoptysis and is a common presentation in pulmonary edema.

B) Incorrect. Orthopnea refers to difficulty breathing when lying flat and is associated with heart failure but is not specifically related to pink, frothy sputum.

C) Incorrect. Paroxysmal nocturnal dyspnea (PND) is another symptom of heart failure but does not involve the coughing up of pink, frothy sputum.

D) Incorrect. Crepitus is a term used to describe a crackling or popping sound and is not directly related to the sputum seen in pulmonary edema.

A. Complete blood count (CBC) B. Electrocardiogram (ECG) C. Chest X-ray D. Urinalysis

Correct Answer is C

Explanation

A) Incorrect. While a complete blood count (CBC) may provide some information, it is not the primary diagnostic test for pulmonary edema.

B) Incorrect. An electrocardiogram (ECG) may be used to evaluate cardiac function but does not directly assess pulmonary edema.

C) Correct. A chest X-ray is a key diagnostic tool for assessing the presence, severity, and underlying causes of pulmonary edema by visualizing lung and heart structures.

D) Incorrect. Urinalysis is not a primary diagnostic test for pulmonary edema; it is used to assess kidney function and screen for urinary tract infections.

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

Correct Answer is A

Explanation

A nurse is caring for a client suspected of having pulmonary edema. Which diagnostic test is commonly used to assess the severity and underlying cause of pulmonary edema?

Correct Answer is C

Explanation

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