A nurse is caring for a client with a history of myocardial infarction (MI). Which factor related to the client's medical history increases the risk of developing pulmonary edema?

Regular exercise regimen

Smoking cessation

Hypertension control

Prior heart muscle damage

Answer and Explanation

The Correct Answer is D

A) Incorrect. Regular exercise is generally beneficial for heart health and would not increase the risk of pulmonary edema.

B) Incorrect. Smoking cessation is a positive health behavior and does not increase the risk of pulmonary edema.

C) Incorrect. Hypertension control is important for reducing the risk of heart-related complications and pulmonary edema.

D) Correct. Prior heart muscle damage, such as from a myocardial infarction (MI), increases the risk of heart failure and subsequently pulmonary edema.

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Correct Answer is C

Explanation

A) Incorrect. Hyperventilation leading to respiratory alkalosis may occur in response to respiratory distress but is not the primary cause of the sensation of "suffocation."

B) Incorrect. Reduced cardiac output may be a consequence of pulmonary edema, but it does not typically result in bradycardia, nor is it the primary cause of the sensation described.

C) Correct. In pulmonary edema, fluid accumulation in the alveoli impairs oxygen diffusion, leading to hypoxemia, which contributes to the sensation of "suffocation."

D) Incorrect. Elevated blood pressure and hypertension can be associated with heart failure but are not the primary factors contributing to the sensation of "suffocation" in 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 caring for a client with a history of myocardial infarction (MI). Which factor related to the client's medical history increases the risk of developing pulmonary edema?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with pulmonary edema complains of a feeling of "suffocation." Which physiological mechanism contributes to this sensation in pulmonary edema?

Correct Answer is C

Explanation

A nurse is providing discharge instructions to a client who experienced an episode of pulmonary edema. Which dietary recommendation should the nurse prioritize for this client?

Correct Answer is C

Explanation

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