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
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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Related Questions
Correct Answer is C
Explanation
A) Incorrect. The primary role of the lymphatic system in the lungs is not gas exchange but rather fluid removal.
B) Incorrect. While the lymphatic system plays a role in overall fluid balance, it is not primarily responsible for regulating blood pressure.
C) Correct. The lymphatic system helps remove excess interstitial fluid from the lungs, preventing fluid accumulation and contributing to fluid balance.
D) Incorrect. Surfactant production is primarily related to maintaining lung compliance and preventing alveolar collapse but is not a primary function of the lymphatic system.
Correct Answer is A
Explanation
A) Correct. Hypertension is a significant risk factor for the development of heart failure, which can lead to pulmonary edema.
B) Incorrect. Diabetes, while a chronic condition, is not a direct risk factor for pulmonary edema.
C) Incorrect. Hypercholesterolemia (high cholesterol) can contribute to atherosclerosis and cardiovascular disease but is not a direct cause of pulmonary edema.
D) Incorrect. Osteoarthritis is a musculoskeletal condition and is not directly related to the development of pulmonary edema.
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