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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
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.
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.
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