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 C
Explanation
A) Incorrect. Oxygen saturation levels are typically assessed using pulse oximetry and are not provided by an echocardiogram.
B) Incorrect. Blood pressure measurements are not directly assessed through an echocardiogram.
C) Correct. An echocardiogram provides valuable information about the structure and function of the heart, which can help diagnose the underlying cause of pulmonary edema, such as heart failure.
D) Incorrect. A white blood cell count is not part of an echocardiogram and is not used to diagnose pulmonary edema.
Correct Answer is B
Explanation
A) Incorrect. A decreased respiratory rate is not typically associated with pulmonary edema, which often leads to increased respiratory effort.
B) Correct. Inspiratory crackles in the lung bases are indicative of fluid accumulation in the alveoli and are a common physical finding in pulmonary edema.
C) Incorrect. Increased breath sounds are not typically associated with pulmonary edema; instead, crackles or wheezing may be heard.
D) Incorrect. Diminished heart sounds are not a characteristic finding in pulmonary edema.
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