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 C
Explanation
A) Incorrect. Atrial contraction contributes to ventricular filling but is not typically the primary site of impairment in heart failure leading to pulmonary edema.
B) Incorrect. Ventricular relaxation (diastole) is necessary for ventricular filling, but the impaired contraction during systole is a more common issue in heart failure.
C) Correct. Impaired ventricular contraction (systole) in heart failure results in reduced forward flow of blood and leads to fluid backup in the lungs, contributing to pulmonary edema.
D) Incorrect. Electrical conduction in the heart may affect heart rhythm but is not directly related to the development of pulmonary edema.
Correct Answer is B
Explanation
A) Incorrect. Caffeine, when consumed in moderation, is not a known risk factor for pulmonary edema.
B) Correct. Excessive alcohol consumption can lead to heart-related issues, including alcoholic cardiomyopathy, which can increase the risk of pulmonary edema.
C) Incorrect. While nicotine is harmful to the cardiovascular system, it is not a direct cause of pulmonary edema.
D) Incorrect. While marijuana use can have various health effects, it is not a known direct risk factor for pulmonary edema.
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