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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Incorrect. The supine position with legs elevated is not recommended for clients with pulmonary edema, as it can worsen fluid retention.
B) Correct. High Fowler's position allows for optimal lung expansion and improved gas exchange in clients with pulmonary edema.
C) Incorrect. The left lateral recumbent position may be used in some cases, but it is not the primary position for managing pulmonary edema.
D) Incorrect. The prone position is not typically recommended for clients with pulmonary edema.
Correct Answer is C
Explanation
A) Incorrect. A persistent dry cough is not a typical symptom of acute pulmonary edema.
B) Incorrect. Productive cough with green sputum is more suggestive of a respiratory infection than acute pulmonary edema.
C) Correct. Sudden-onset severe shortness of breath, often described as "air hunger," is a hallmark symptom of acute pulmonary edema.
D) Incorrect. Sharp, stabbing chest pain is not a primary symptom of acute pulmonary edema but may be present in some cases.
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