A nurse is assessing a client with pulmonary edema. Which physical examination finding is indicative of fluid accumulation in the lungs?
Decreased respiratory rate
Inspiratory crackles in the lung bases
Increased breath sounds
Diminished heart sounds
The Correct Answer is B
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.
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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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