A nurse is assessing a client with chronic pulmonary edema. Which clinical finding should the nurse expect to observe in this client?
Sudden onset of severe chest pain
Profuse hemoptysis (coughing up blood)
Bilateral pitting edema in the lower extremities
Increased heart rate with palpitations
The Correct Answer is C
A) Incorrect. Sudden onset of severe chest pain is not a typical finding in chronic pulmonary edema.
B) Incorrect. Profuse hemoptysis is not a common symptom of chronic pulmonary edema.
C) Correct. Bilateral pitting edema in the lower extremities is a common sign of fluid retention in chronic pulmonary edema.
D) Incorrect. While an increased heart rate may be present, palpitations are not a typical finding in chronic pulmonary edema.
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
A) Correct. Pink, frothy sputum is often referred to as hemoptysis and is a common presentation in pulmonary edema.
B) Incorrect. Orthopnea refers to difficulty breathing when lying flat and is associated with heart failure but is not specifically related to pink, frothy sputum.
C) Incorrect. Paroxysmal nocturnal dyspnea (PND) is another symptom of heart failure but does not involve the coughing up of pink, frothy sputum.
D) Incorrect. Crepitus is a term used to describe a crackling or popping sound and is not directly related to the sputum seen in pulmonary edema.
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