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?
Nausea and vomiting
Orthopnea (difficulty breathing when lying flat)
Excessive sweating and diaphoresis
Sharp, stabbing chest pain
The Correct Answer is B
A) Incorrect. Nausea and vomiting are not typically associated with pulmonary edema.
B) Correct. Orthopnea, or difficulty breathing when lying flat, is a common symptom of pulmonary edema related to heart failure.
C) Incorrect. While sweating and diaphoresis can occur in response to respiratory distress, they are not specific to pulmonary edema.
D) Incorrect. Sharp, stabbing chest pain is not a common manifestation of pulmonary edema but may occur with other cardiac or respiratory conditions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct. Skin temperature and color can provide important clues about tissue perfusion and oxygenation, which are critical in pulmonary edema.
B) Incorrect. While urinary output is important, it is not the primary focus when monitoring respiratory status in pulmonary edema.
C) Incorrect. Bowel sounds are unrelated to pulmonary edema and should not be the priority assessment.
D) Incorrect. Peripheral edema may be a sign of fluid retention, but skin color and temperature are more directly related to respiratory status.
Correct Answer is A
Explanation
A) Correct. Pink, frothy sputum, often described as "pink froth," is indicative of severe pulmonary edema with the presence of blood-tinged fluid in the alveoli.
B) Incorrect. A low-grade fever is not a typical sign of pulmonary edema and may indicate another underlying condition.
C) Incorrect. Clear breath sounds throughout the lung fields are not indicative of severe pulmonary edema, which often presents with crackles.
D) Incorrect. The absence of peripheral edema does not necessarily reflect the severity of pulmonary edema; it may be related to factors other than heart failure.
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