A client with pulmonary edema complains of a feeling of "suffocation." Which physiological mechanism contributes to this sensation in pulmonary edema?

Hyperventilation leading to respiratory alkalosis

Reduced cardiac output resulting in bradycardia

Impaired oxygen diffusion causing hypoxemia

Elevated blood pressure and hypertension

Answer and Explanation

The Correct Answer is C

A) Incorrect. Hyperventilation leading to respiratory alkalosis may occur in response to respiratory distress but is not the primary cause of the sensation of "suffocation."

B) Incorrect. Reduced cardiac output may be a consequence of pulmonary edema, but it does not typically result in bradycardia, nor is it the primary cause of the sensation described.

C) Correct. In pulmonary edema, fluid accumulation in the alveoli impairs oxygen diffusion, leading to hypoxemia, which contributes to the sensation of "suffocation."

D) Incorrect. Elevated blood pressure and hypertension can be associated with heart failure but are not the primary factors contributing to the sensation of "suffocation" in pulmonary edema.

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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.

A. Supine position with legs elevated B. High Fowler's position C. Left lateral recumbent position D. Prone position with the head turned to the side

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.

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A client with pulmonary edema complains of a feeling of "suffocation." Which physiological mechanism contributes to this sensation in pulmonary edema?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

A nurse is caring for a client with pulmonary edema. Which position should the nurse recommend to promote optimal lung expansion and gas exchange?

Correct Answer is B

Explanation

A client with pulmonary edema complains of a feeling of "suffocation." Which physiological mechanism contributes to this sensation in pulmonary edema?

A nurse is assessing a client with pulmonary edema. Which clinical manifestation should the nurse expect to find?

A nurse is caring for a client with acute pulmonary edema. Which intervention should the nurse prioritize to improve the client's oxygenation?

A nurse is caring for a client with a history of myocardial infarction (MI). Which factor related to the client's medical history increases the risk of developing pulmonary edema?

A nurse is explaining the concept of pulmonary edema to a client. Which description best characterizes pulmonary edema?

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 nurse is caring for a client with acute pulmonary edema. Which mechanism is responsible for the accumulation of fluid in the alveoli and interstitial spaces in this condition?

A client with pulmonary edema is receiving oxygen therapy. What should the nurse assess to ensure the client's oxygenation needs are met effectively?