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. 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.
Correct Answer is C
Explanation
A) Incorrect. Routine physical activity does not typically precipitate the development of pulmonary edema.
B) Incorrect. Recent vaccination is not a common precipitating factor for pulmonary edema.
C) Correct. Severe hypertension can increase the workload of the heart, leading to left ventricular failure, which is a common precipitating event for pulmonary edema.
D) Incorrect. Controlled diabetes is not a precipitating factor for pulmonary edema; uncontrolled diabetes can have cardiovascular implications but is not directly related to this condition.
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