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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Incorrect. Limiting fluid intake should be based on the client's specific medical recommendations and should not be a general guideline.
B) Incorrect. Avoiding all physical activity is not necessary and can lead to deconditioning. Clients should engage in appropriate physical activity as advised by their healthcare provider.
C) Incorrect. Blood pressure should be regularly monitored as directed by the healthcare provider, not only when symptoms worsen.
D) Correct. Taking prescribed medications as directed, especially diuretics and medications to manage underlying conditions, is crucial in preventing recurrence of pulmonary edema.
Correct Answer is A
Explanation
A) Correct. Pulmonary edema can lead to impaired gas exchange, resulting in respiratory acidosis, characterized by a decreased pH on ABG analysis.
B) Incorrect. Pulmonary edema typically leads to decreased oxygenation, so an elevated PaO2 would not be consistent with this condition.
C) Incorrect. A decreased PaCO2 is more commonly associated with respiratory alkalosis and is not a primary finding in pulmonary edema.
D) Incorrect. Increased bicarbonate (HCO3-) levels are more indicative of metabolic alkalosis and are not typically associated with pulmonary edema.
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