A client with pulmonary edema is receiving oxygen therapy. What should the nurse assess to ensure the client's oxygenation needs are met effectively?

Urinary output

Respiratory rate and effort

Skin turgor

Bowel sounds

Answer and Explanation

The Correct Answer is B

A) Incorrect. Urinary output is important but does not directly assess the client's oxygenation status.

B) Correct. Monitoring the respiratory rate and effort is essential to ensure the client is adequately oxygenated and not in respiratory distress.

C) Incorrect. Skin turgor is unrelated to oxygenation and pulmonary edema.

D) Incorrect. Bowel sounds do not provide information about the client's oxygenation status.

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Correct Answer is B

Explanation

A) Incorrect. The supine position with legs elevated is not recommended for clients with pulmonary edema, as it can worsen fluid retention.

B) Correct. High Fowler's position allows for optimal lung expansion and improved gas exchange in clients with pulmonary edema.

C) Incorrect. The left lateral recumbent position may be used in some cases, but it is not the primary position for managing pulmonary edema.

D) Incorrect. The prone position is not typically recommended for clients with pulmonary edema.

A. Increased hydrostatic pressure in pulmonary capillaries B. Decreased capillary permeability in the lungs C. Enhanced lymphatic drainage from the lungs D. Elevated colloid osmotic pressure in pulmonary vessels

Correct Answer is A

Explanation

A) Correct. Increased hydrostatic pressure in pulmonary capillaries, often due to left ventricular failure, leads to the filtration of fluid from the capillaries into the alveoli and interstitial spaces, causing pulmonary edema.

B) Incorrect. Decreased capillary permeability is not typically a primary factor in the development of pulmonary edema.

C) Incorrect. Enhanced lymphatic drainage from the lungs is not a primary mechanism responsible for the accumulation of fluid in pulmonary edema.

D) Incorrect. Elevated colloid osmotic pressure in pulmonary vessels would oppose fluid accumulation in the alveoli and is not a primary cause of pulmonary edema.

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A client with pulmonary edema is receiving oxygen therapy. What should the nurse assess to ensure the client's oxygenation needs are met effectively?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with pulmonary edema. Which position should the nurse recommend to promote optimal lung expansion and gas exchange?

Correct Answer is B

Explanation

A nurse is caring for a client with acute pulmonary edema. Which mechanism is responsible for the accumulation of fluid in the alveoli and interstitial spaces in this condition?

Correct Answer is A

Explanation

A client with suspected pulmonary edema is scheduled for an echocardiogram. What information can this diagnostic test provide to assist in diagnosing the cause of pulmonary edema?

A nurse is explaining the concept of pulmonary edema to a client. Which description best characterizes pulmonary edema?

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?

A nurse is assessing a client with pulmonary edema. Which physical examination finding is indicative of fluid accumulation in the lungs?

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?

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 nurse is explaining the pathophysiology of pulmonary edema to a group of nursing students. Which physiological mechanism underlies the development of pulmonary edema?

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