A client with known heart failure presents to the clinic with worsening pulmonary edema. Which symptom should the nurse expect the client to report as a common manifestation of pulmonary edema related to heart failure?
Nausea and vomiting
Orthopnea (difficulty breathing when lying flat)
Excessive sweating and diaphoresis
Sharp, stabbing chest pain
The Correct Answer is B
A) Incorrect. Nausea and vomiting are not typically associated with pulmonary edema.
B) Correct. Orthopnea, or difficulty breathing when lying flat, is a common symptom of pulmonary edema related to heart failure.
C) Incorrect. While sweating and diaphoresis can occur in response to respiratory distress, they are not specific to pulmonary edema.
D) Incorrect. Sharp, stabbing chest pain is not a common manifestation of pulmonary edema but may occur with other cardiac or respiratory conditions.
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Related Questions
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.
Correct Answer is A
Explanation
A) Correct. Pink, frothy sputum, often described as "pink froth," is indicative of severe pulmonary edema with the presence of blood-tinged fluid in the alveoli.
B) Incorrect. A low-grade fever is not a typical sign of pulmonary edema and may indicate another underlying condition.
C) Incorrect. Clear breath sounds throughout the lung fields are not indicative of severe pulmonary edema, which often presents with crackles.
D) Incorrect. The absence of peripheral edema does not necessarily reflect the severity of pulmonary edema; it may be related to factors other than heart failure.
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