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

Decreased respiratory rate

Inspiratory crackles in the lung bases

Increased breath sounds

Diminished heart sounds

Answer and Explanation

The Correct Answer is B

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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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.

A. High-sodium diet to maintain blood pressure B. Low-potassium diet to prevent electrolyte imbalances C. Low-sodium diet to reduce fluid retention D. High-protein diet to promote muscle strength

Correct Answer is C

Explanation

A) Incorrect. A high-sodium diet is not recommended for clients with pulmonary edema, as it can exacerbate fluid retention.

B) Incorrect. Low-potassium diets are not typically recommended for clients with pulmonary edema, as potassium is important for heart and muscle function.

C) Correct. A low-sodium diet is essential to reduce fluid retention and manage pulmonary edema.

D) Incorrect. While adequate protein intake is important for overall health, it is not the primary dietary concern in pulmonary edema.

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

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Naxlex Comprehensive Predictor Exams

A client with heart failure develops pulmonary edema. Which part of the heart's pumping action is impaired in this condition, leading to fluid backup in the lungs?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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