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?
Atrial contraction
Ventricular relaxation (diastole)
Ventricular contraction (systole)
Electrical conduction in the heart
The Correct Answer is C
A) Incorrect. Atrial contraction contributes to ventricular filling but is not typically the primary site of impairment in heart failure leading to pulmonary edema.
B) Incorrect. Ventricular relaxation (diastole) is necessary for ventricular filling, but the impaired contraction during systole is a more common issue in heart failure.
C) Correct. Impaired ventricular contraction (systole) in heart failure results in reduced forward flow of blood and leads to fluid backup in the lungs, contributing to pulmonary edema.
D) Incorrect. Electrical conduction in the heart may affect heart rhythm but is not directly related to the development of pulmonary edema.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Incorrect. Intravenous antibiotics may be necessary for certain pulmonary infections, but they do not address the immediate oxygenation needs in acute pulmonary edema.
B) Correct. Providing supplemental oxygen helps increase the client's oxygen levels, improving oxygenation in acute pulmonary edema.
C) Incorrect. While deep breathing exercises are beneficial for overall lung health, they may not be sufficient to address the immediate oxygenation issue in acute pulmonary edema.
D) Incorrect. Antipyretic medications are used to reduce fever and do not directly improve oxygenation in 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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