A nurse is assessing a patient with congestive heart failure that has shortness of breath.
Patients with heart disease can have fluid accumulate in the lungs.
This is called.
Pneumonia.
Asthma.
Pulmonary edema.
Ascites.
The Correct Answer is C
Choice A rationale:
Pneumonia is an infection in the lungs, not fluid accumulation due to heart disease.
Choice B rationale:
Asthma is a chronic condition causing inflammation and narrowing of the bronchial tubes, not fluid accumulation.
Choice C rationale:
Pulmonary edema is the correct answer. It’s a condition caused by excess fluid in the lungs, which can be a complication of heart disease.
Choice D rationale:
Ascites is fluid accumulation in the abdomen, not the lungs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
Choice A rationale:
Keeping the client NPO after midnight is not necessary for an ECG. It is a non-invasive procedure that does not require fasting.
Choice B rationale:
Inspecting the electrode pads is important to ensure good contact with the skin and accurate readings.
Choice C rationale:
Instructing the client to breathe normally during the ECG helps to prevent artifacts in the tracing that could lead to misinterpretation.
Choice D rationale:
Administering an analgesic prior to the procedure is not necessary. An ECG is a painless procedure.
Choice E rationale:
Using alcohol to wipe the skin before placing the electrodes can improve the quality of the ECG by reducing skin impedance.
Correct Answer is C
Explanation
Choice A rationale:
Anaphylaxis is not an unusual response due to an inherited predisposition. It’s an acute allergic reaction.
Choice B rationale:
Anaphylaxis is not a predictable and often unavoidable secondary effect that can occur at a usual therapeutic dose. It’s an unpredictable and severe allergic reaction.
Choice C rationale:
Anaphylaxis is indeed a severe hypersensitivity or allergic reaction that is life-threatening. It requires immediate medical attention.
Choice D rationale:
Anaphylaxis will not cause withdrawal symptoms when you discontinue taking the medication. It’s an immediate allergic reaction.
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