A nurse is caring for a client with pulmonary edema. Which finding is indicative of severe pulmonary edema and impaired gas exchange?
Pink, frothy sputum
Low-grade fever
Clear breath sounds throughout the lung fields
Absence of peripheral edema
The Correct Answer is A
A) Correct. Pink, frothy sputum, often described as "pink froth," is indicative of severe pulmonary edema with the presence of blood-tinged fluid in the alveoli.
B) Incorrect. A low-grade fever is not a typical sign of pulmonary edema and may indicate another underlying condition.
C) Incorrect. Clear breath sounds throughout the lung fields are not indicative of severe pulmonary edema, which often presents with crackles.
D) Incorrect. The absence of peripheral edema does not necessarily reflect the severity of pulmonary edema; it may be related to factors other than heart failure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Incorrect. Increased myocardial contractility would not typically lead to left ventricular remodeling but might improve cardiac function.
B) Incorrect. Reduced afterload on the heart may be beneficial, but it is not a primary factor in left ventricular remodeling.
C) Correct. Left ventricular remodeling, often occurring after a myocardial infarction, involves changes in the size and shape of the ventricle, which can impair cardiac function and lead to pulmonary edema.
D) Incorrect. Enhanced pulmonary vasodilation is not a primary cause of left ventricular remodeling or pulmonary edema.
Correct Answer is A
Explanation
A) Correct. Hypertension is a significant risk factor for the development of heart failure, which can lead to pulmonary edema.
B) Incorrect. Diabetes, while a chronic condition, is not a direct risk factor for pulmonary edema.
C) Incorrect. Hypercholesterolemia (high cholesterol) can contribute to atherosclerosis and cardiovascular disease but is not a direct cause of pulmonary edema.
D) Incorrect. Osteoarthritis is a musculoskeletal condition and is not directly related to the development of pulmonary edema.
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