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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct. Pink, frothy sputum is often referred to as hemoptysis and is a common presentation in pulmonary edema.
B) Incorrect. Orthopnea refers to difficulty breathing when lying flat and is associated with heart failure but is not specifically related to pink, frothy sputum.
C) Incorrect. Paroxysmal nocturnal dyspnea (PND) is another symptom of heart failure but does not involve the coughing up of pink, frothy sputum.
D) Incorrect. Crepitus is a term used to describe a crackling or popping sound and is not directly related to the sputum seen in pulmonary edema.
Correct Answer is C
Explanation
A) Incorrect. A persistent dry cough is not a typical symptom of acute pulmonary edema.
B) Incorrect. Productive cough with green sputum is more suggestive of a respiratory infection than acute pulmonary edema.
C) Correct. Sudden-onset severe shortness of breath, often described as "air hunger," is a hallmark symptom of acute pulmonary edema.
D) Incorrect. Sharp, stabbing chest pain is not a primary symptom of acute pulmonary edema but may be present in some cases.
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