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 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.
Correct Answer is C
Explanation
A) Incorrect. Routine physical activity does not typically precipitate the development of pulmonary edema.
B) Incorrect. Recent vaccination is not a common precipitating factor for pulmonary edema.
C) Correct. Severe hypertension can increase the workload of the heart, leading to left ventricular failure, which is a common precipitating event for pulmonary edema.
D) Incorrect. Controlled diabetes is not a precipitating factor for pulmonary edema; uncontrolled diabetes can have cardiovascular implications but is not directly related to this condition.
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