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 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.
Correct Answer is A
Explanation
A) Correct. Hypertension is a significant risk factor for the development of heart failure, which can lead to pulmonary edema.
B) Incorrect. Diabetes, while a chronic condition, is not a direct risk factor for pulmonary edema.
C) Incorrect. Hypercholesterolemia (high cholesterol) can contribute to atherosclerosis and cardiovascular disease but is not a direct cause of pulmonary edema.
D) Incorrect. Osteoarthritis is a musculoskeletal condition and is not directly related to the development of pulmonary edema.
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