A nurse is explaining the pathophysiology of pulmonary edema to a group of nursing students. Which physiological mechanism underlies the development of pulmonary edema?

Increased lung compliance

Impaired alveolar fluid clearance

Constricted pulmonary blood vessels

Enhanced left ventricular contractility

Answer and Explanation

The Correct Answer is B

A) Incorrect. Increased lung compliance would not contribute to pulmonary edema; in fact, it might reduce the risk of fluid accumulation in the lungs.

B) Correct. Impaired alveolar fluid clearance, often due to altered pulmonary capillary permeability, is a key factor in the pathophysiology of pulmonary edema.

C) Incorrect. Constricted pulmonary blood vessels (vasoconstriction) would reduce blood flow to the lungs and are not a primary factor in pulmonary edema.

D) Incorrect. Enhanced left ventricular contractility, while beneficial for cardiac function, is not directly related to the development of pulmonary edema.

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Correct Answer is D

Explanation

A) Incorrect. Limiting fluid intake should be based on the client's specific medical recommendations and should not be a general guideline.

B) Incorrect. Avoiding all physical activity is not necessary and can lead to deconditioning. Clients should engage in appropriate physical activity as advised by their healthcare provider.

C) Incorrect. Blood pressure should be regularly monitored as directed by the healthcare provider, not only when symptoms worsen.

D) Correct. Taking prescribed medications as directed, especially diuretics and medications to manage underlying conditions, is crucial in preventing recurrence of pulmonary edema.

A. Persistent dry cough B. Productive cough with green sputum C. Sudden-onset severe shortness of breath D. Sharp, stabbing chest pain

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.

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A nurse is explaining the pathophysiology of pulmonary edema to a group of nursing students. Which physiological mechanism underlies the development of pulmonary edema?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

A client presents to the emergency department with suspected pulmonary edema. Which symptom is most commonly associated with acute pulmonary edema?

Correct Answer is C

Explanation

A nurse is caring for a client with pulmonary edema. Which finding is indicative of severe pulmonary edema and impaired gas exchange?

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?

A client with known heart failure presents to the clinic with worsening pulmonary edema. Which symptom should the nurse expect the client to report as a common manifestation of pulmonary edema related to heart failure?

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

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?

A client with suspected pulmonary edema is undergoing diagnostic testing. Which laboratory parameter is often elevated in cases of heart failure-related pulmonary edema?

A nurse is caring for a client with pulmonary edema. Which assessment finding should the nurse prioritize when monitoring the client's respiratory status?

A nurse is assisting with the diagnostic workup of a client with suspected pulmonary edema. Which imaging modality can help identify the presence of fluid in the alveoli and interstitial spaces of the lungs?