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. 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.
Correct Answer is C
Explanation
A) Incorrect. A high-sodium diet is not recommended for clients with pulmonary edema, as it can exacerbate fluid retention.
B) Incorrect. Low-potassium diets are not typically recommended for clients with pulmonary edema, as potassium is important for heart and muscle function.
C) Correct. A low-sodium diet is essential to reduce fluid retention and manage pulmonary edema.
D) Incorrect. While adequate protein intake is important for overall health, it is not the primary dietary concern in pulmonary edema.
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