A nurse is caring for a client with pulmonary edema. Which assessment finding should the nurse prioritize when monitoring the client's respiratory status?
Skin temperature and color
Urinary output
Bowel sounds
Peripheral edema
The Correct Answer is A
A) Correct. Skin temperature and color can provide important clues about tissue perfusion and oxygenation, which are critical in pulmonary edema.
B) Incorrect. While urinary output is important, it is not the primary focus when monitoring respiratory status in pulmonary edema.
C) Incorrect. Bowel sounds are unrelated to pulmonary edema and should not be the priority assessment.
D) Incorrect. Peripheral edema may be a sign of fluid retention, but skin color and temperature are more directly related to respiratory status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
A) Correct. Skin temperature and color can provide important clues about tissue perfusion and oxygenation, which are critical in pulmonary edema.
B) Incorrect. While urinary output is important, it is not the primary focus when monitoring respiratory status in pulmonary edema.
C) Incorrect. Bowel sounds are unrelated to pulmonary edema and should not be the priority assessment.
D) Incorrect. Peripheral edema may be a sign of fluid retention, but skin color and temperature are more directly related to respiratory status.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.