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.
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Related Questions
Correct Answer is A
Explanation
A) Correct. Pulmonary edema can lead to impaired gas exchange, resulting in respiratory acidosis, characterized by a decreased pH on ABG analysis.
B) Incorrect. Pulmonary edema typically leads to decreased oxygenation, so an elevated PaO2 would not be consistent with this condition.
C) Incorrect. A decreased PaCO2 is more commonly associated with respiratory alkalosis and is not a primary finding in pulmonary edema.
D) Incorrect. Increased bicarbonate (HCO3-) levels are more indicative of metabolic alkalosis and are not typically associated with pulmonary edema.
Correct Answer is A
Explanation
A) Correct. A CT scan can help identify the presence of fluid in the alveoli and interstitial spaces of the lungs, making it a valuable tool in diagnosing pulmonary edema.
B) Incorrect. MRI is not typically used to diagnose pulmonary edema, as it may not provide as clear an image of lung tissue as a CT scan.
C) Incorrect. PET scans are more commonly used in oncology to detect metabolic activity and are not typically used for pulmonary edema diagnosis.
D) Incorrect. While ultrasound can be useful in assessing pleural effusions, it may not provide the same level of detail as a CT scan for diagnosing pulmonary edema.
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