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 C
Explanation
A) Incorrect. Diuretics typically reduce blood pressure, so increased blood pressure is an unlikely side effect.
B) Incorrect. Hyperglycemia is not a common side effect of diuretics.
C) Correct. Diuretics can lead to the loss of potassium, resulting in hypokalemia.
D) Incorrect. Bradycardia is not typically associated with diuretic therapy.
Correct Answer is D
Explanation
A) Incorrect. Regular exercise is generally beneficial for heart health and would not increase the risk of pulmonary edema.
B) Incorrect. Smoking cessation is a positive health behavior and does not increase the risk of pulmonary edema.
C) Incorrect. Hypertension control is important for reducing the risk of heart-related complications and pulmonary edema.
D) Correct. Prior heart muscle damage, such as from a myocardial infarction (MI), increases the risk of heart failure and subsequently pulmonary edema.
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