A client with a history of myocardial infarction (MI) develops pulmonary edema. Which pathophysiological process is likely occurring in this client, leading to fluid accumulation in the lungs?

Increased myocardial contractility

Reduced afterload on the heart

Left ventricular remodeling

Enhanced pulmonary vasodilation

Answer and Explanation

The Correct Answer is C

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.

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Correct Answer is C

Explanation

A) Incorrect. The primary role of the lymphatic system in the lungs is not gas exchange but rather fluid removal.

B) Incorrect. While the lymphatic system plays a role in overall fluid balance, it is not primarily responsible for regulating blood pressure.

C) Correct. The lymphatic system helps remove excess interstitial fluid from the lungs, preventing fluid accumulation and contributing to fluid balance.

D) Incorrect. Surfactant production is primarily related to maintaining lung compliance and preventing alveolar collapse but is not a primary function of the lymphatic system.

A. Sudden onset of severe chest pain B. Profuse hemoptysis (coughing up blood) C. Bilateral pitting edema in the lower extremities D. Increased heart rate with palpitations

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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A client with a history of myocardial infarction (MI) develops pulmonary edema. Which pathophysiological process is likely occurring in this client, leading to fluid accumulation in the lungs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is explaining the role of the lymphatic system in pulmonary edema to a client. What is the primary function of the lymphatic system in managing fluid balance in the lungs?

Correct Answer is C

Explanation

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

Correct Answer is C

Explanation

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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?

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

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