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

Answer and Explanation

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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Correct Answer is B

Explanation

A) Incorrect. Increased lung compliance would not contribute to pulmonary edema; in fact, it might reduce the risk of fluid accumulation in the lungs.

B) Correct. Impaired alveolar fluid clearance, often due to altered pulmonary capillary permeability, is a key factor in the pathophysiology of pulmonary edema.

C) Incorrect. Constricted pulmonary blood vessels (vasoconstriction) would reduce blood flow to the lungs and are not a primary factor in pulmonary edema.

D) Incorrect. Enhanced left ventricular contractility, while beneficial for cardiac function, is not directly related to the development of pulmonary edema.

A. Persistent dry cough B. Productive cough with green sputum C. Sudden-onset severe shortness of breath D. Sharp, stabbing chest pain

Correct Answer is C

Explanation

A) Incorrect. A persistent dry cough is not a typical symptom of acute pulmonary edema.

B) Incorrect. Productive cough with green sputum is more suggestive of a respiratory infection than acute pulmonary edema.

C) Correct. Sudden-onset severe shortness of breath, often described as "air hunger," is a hallmark symptom of acute pulmonary edema.

D) Incorrect. Sharp, stabbing chest pain is not a primary symptom of acute pulmonary edema but may be present in some cases.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is explaining the pathophysiology of pulmonary edema to a group of nursing students. Which physiological mechanism underlies the development of pulmonary edema?

Correct Answer is B

Explanation

A client presents to the emergency department with suspected pulmonary edema. Which symptom is most commonly associated with acute pulmonary edema?

Correct Answer is C

Explanation

A nurse is discussing risk factors for pulmonary edema with a group of patients. Which of the following conditions or factors is a known risk factor for the development of pulmonary edema?

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

A client with pulmonary edema is prescribed diuretic therapy. What should the nurse monitor for as a potential side effect of diuretic administration?

A client with suspected pulmonary edema is scheduled for an echocardiogram. What information can this diagnostic test provide to assist in diagnosing the cause of pulmonary edema?

A client is admitted to the hospital with a diagnosis of acute pulmonary edema. The client has a history of hypertension and diabetes. Which comorbidity is considered a significant risk factor for the development of pulmonary edema?

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 heart failure develops pulmonary edema. Which part of the heart's pumping action is impaired in this condition, leading to fluid backup in the lungs?

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