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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A) Incorrect. Atrial contraction contributes to ventricular filling but is not typically the primary site of impairment in heart failure leading to pulmonary edema.

B) Incorrect. Ventricular relaxation (diastole) is necessary for ventricular filling, but the impaired contraction during systole is a more common issue in heart failure.

C) Correct. Impaired ventricular contraction (systole) in heart failure results in reduced forward flow of blood and leads to fluid backup in the lungs, contributing to pulmonary edema.

D) Incorrect. Electrical conduction in the heart may affect heart rhythm but is not directly related to the development of 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 pulmonary edema. Which finding is indicative of severe pulmonary edema and impaired gas exchange?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with heart failure develops pulmonary edema. Which part of the heart's pumping action is impaired in this condition, leading to fluid backup in the lungs?

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

A nurse is caring for a client undergoing diagnostic evaluation for suspected pulmonary edema. Which finding on an arterial blood gas (ABG) analysis is consistent with pulmonary edema?

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A nurse is caring for a client suspected of having pulmonary edema. Which diagnostic test is commonly used to assess the severity and underlying cause of pulmonary edema?

A nurse is explaining the concept of pulmonary edema to a client. Which description best characterizes pulmonary edema?

A nurse is providing discharge instructions to a client recovering from pulmonary edema. What self-care measure should the nurse emphasize to help prevent recurrence?

A nurse is assessing a client with pulmonary edema. Which physical examination finding is indicative of fluid accumulation in the lungs?

A client with pulmonary edema is prescribed diuretic therapy. What should the nurse monitor for as a potential side effect of diuretic administration?

A nurse is assessing a client with chronic pulmonary edema. Which clinical finding should the nurse expect to observe in this client?