A client with pulmonary edema is receiving oxygen therapy. What should the nurse assess to ensure the client's oxygenation needs are met effectively?
Urinary output
Respiratory rate and effort
Skin turgor
Bowel sounds
The Correct Answer is B
A) Incorrect. Urinary output is important but does not directly assess the client's oxygenation status.
B) Correct. Monitoring the respiratory rate and effort is essential to ensure the client is adequately oxygenated and not in respiratory distress.
C) Incorrect. Skin turgor is unrelated to oxygenation and pulmonary edema.
D) Incorrect. Bowel sounds do not provide information about the client's oxygenation status.
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Related Questions
Correct Answer is D
Explanation
A) Incorrect. Regular exercise is generally beneficial for heart health and would not increase the risk of pulmonary edema.
B) Incorrect. Smoking cessation is a positive health behavior and does not increase the risk of pulmonary edema.
C) Incorrect. Hypertension control is important for reducing the risk of heart-related complications and pulmonary edema.
D) Correct. Prior heart muscle damage, such as from a myocardial infarction (MI), increases the risk of heart failure and subsequently pulmonary edema.
Correct Answer is A
Explanation
A) Correct. Increased hydrostatic pressure in pulmonary capillaries, often due to left ventricular failure, leads to the filtration of fluid from the capillaries into the alveoli and interstitial spaces, causing pulmonary edema.
B) Incorrect. Decreased capillary permeability is not typically a primary factor in the development of pulmonary edema.
C) Incorrect. Enhanced lymphatic drainage from the lungs is not a primary mechanism responsible for the accumulation of fluid in pulmonary edema.
D) Incorrect. Elevated colloid osmotic pressure in pulmonary vessels would oppose fluid accumulation in the alveoli and is not a primary cause of pulmonary edema.
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