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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?

A.

Urinary output

B.

Respiratory rate and effort

C.

Skin turgor

D.

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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Related Questions

Correct Answer is A

Explanation

A) Correct. Serum creatinine levels can be elevated in cases of heart failure-related pulmonary edema, indicating impaired kidney function due to reduced cardiac output.

B) Incorrect. Blood glucose levels may be elevated in some individuals with diabetes but are not directly related to pulmonary edema.

C) Incorrect. Hemoglobin levels are not typically used to diagnose pulmonary edema; they are more related to oxygen-carrying capacity in the blood.

D) Incorrect. Serum potassium levels may be influenced by various factors but are not a primary indicator of pulmonary edema.

Correct Answer is B

Explanation

A) Incorrect. A decreased respiratory rate is not typically associated with pulmonary edema, which often leads to increased respiratory effort.

B) Correct. Inspiratory crackles in the lung bases are indicative of fluid accumulation in the alveoli and are a common physical finding in pulmonary edema.

C) Incorrect. Increased breath sounds are not typically associated with pulmonary edema; instead, crackles or wheezing may be heard.

D) Incorrect. Diminished heart sounds are not a characteristic finding in pulmonary edema.

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