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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Incorrect. The primary role of the lymphatic system in the lungs is not gas exchange but rather fluid removal.
B) Incorrect. While the lymphatic system plays a role in overall fluid balance, it is not primarily responsible for regulating blood pressure.
C) Correct. The lymphatic system helps remove excess interstitial fluid from the lungs, preventing fluid accumulation and contributing to fluid balance.
D) Incorrect. Surfactant production is primarily related to maintaining lung compliance and preventing alveolar collapse but is not a primary function of the lymphatic system.
Correct Answer is C
Explanation
A) Incorrect. Pulmonary edema is not a bacterial lung infection.
B) Incorrect. Pleuritis (inflammation of the pleura) is a different condition unrelated to pulmonary edema.
C) Correct. Pulmonary edema is characterized by the accumulation of excess fluid in the lungs, often in the alveoli and interstitial spaces.
D) Incorrect. A blockage in the coronary arteries is related to myocardial infarction (heart attack) and is not the primary characteristic of pulmonary edema.
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