A nurse is caring for a client with pulmonary edema. Which position should the nurse recommend to promote optimal lung expansion and gas exchange?
Supine position with legs elevated
High Fowler's position
Left lateral recumbent position
Prone position with the head turned to the side
The Correct Answer is B
A) Incorrect. The supine position with legs elevated is not recommended for clients with pulmonary edema, as it can worsen fluid retention.
B) Correct. High Fowler's position allows for optimal lung expansion and improved gas exchange in clients with pulmonary edema.
C) Incorrect. The left lateral recumbent position may be used in some cases, but it is not the primary position for managing pulmonary edema.
D) Incorrect. The prone position is not typically recommended for clients with pulmonary edema.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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 C
Explanation
A) Incorrect. Sudden onset of severe chest pain is not a typical finding in chronic pulmonary edema.
B) Incorrect. Profuse hemoptysis is not a common symptom of chronic pulmonary edema.
C) Correct. Bilateral pitting edema in the lower extremities is a common sign of fluid retention in chronic pulmonary edema.
D) Incorrect. While an increased heart rate may be present, palpitations are not a typical finding in chronic pulmonary edema.
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