A nurse is assessing a client with chronic pulmonary edema. Which clinical finding should the nurse expect to observe in this client?

Sudden onset of severe chest pain

Profuse hemoptysis (coughing up blood)

Bilateral pitting edema in the lower extremities

Increased heart rate with palpitations

Answer and Explanation

The Correct Answer is C

A) Incorrect. Sudden onset of severe chest pain is not a typical finding in chronic pulmonary edema.

B) Incorrect. Profuse hemoptysis is not a common symptom of chronic pulmonary edema.

C) Correct. Bilateral pitting edema in the lower extremities is a common sign of fluid retention in chronic pulmonary edema.

D) Incorrect. While an increased heart rate may be present, palpitations are not a typical finding in chronic pulmonary edema.

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Correct Answer is A

Explanation

A) Correct. A CT scan can help identify the presence of fluid in the alveoli and interstitial spaces of the lungs, making it a valuable tool in diagnosing pulmonary edema.

B) Incorrect. MRI is not typically used to diagnose pulmonary edema, as it may not provide as clear an image of lung tissue as a CT scan.

C) Incorrect. PET scans are more commonly used in oncology to detect metabolic activity and are not typically used for pulmonary edema diagnosis.

D) Incorrect. While ultrasound can be useful in assessing pleural effusions, it may not provide the same level of detail as a CT scan for diagnosing pulmonary edema.

A. Increased lung compliance B. Impaired alveolar fluid clearance C. Constricted pulmonary blood vessels D. Enhanced left ventricular contractility

Correct Answer is B

Explanation

A) Incorrect. Increased lung compliance would not contribute to pulmonary edema; in fact, it might reduce the risk of fluid accumulation in the lungs.

B) Correct. Impaired alveolar fluid clearance, often due to altered pulmonary capillary permeability, is a key factor in the pathophysiology of pulmonary edema.

C) Incorrect. Constricted pulmonary blood vessels (vasoconstriction) would reduce blood flow to the lungs and are not a primary factor in pulmonary edema.

D) Incorrect. Enhanced left ventricular contractility, while beneficial for cardiac function, is not directly related to the development of pulmonary edema.

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A nurse is assessing a client with chronic pulmonary edema. Which clinical finding should the nurse expect to observe in this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the diagnostic workup of a client with suspected pulmonary edema. Which imaging modality can help identify the presence of fluid in the alveoli and interstitial spaces of the lungs?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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