A nurse is assessing a patient with congestive heart failure that has shortness of breath.
Patients with heart disease can have fluid accumulate in the lungs.
This is called.
Pneumonia.
Asthma.
Pulmonary edema.
Ascites.
The Correct Answer is C
Choice A rationale:
Pneumonia is an infection in the lungs, not fluid accumulation due to heart disease.
Choice B rationale:
Asthma is a chronic condition causing inflammation and narrowing of the bronchial tubes, not fluid accumulation.
Choice C rationale:
Pulmonary edema is the correct answer. It’s a condition caused by excess fluid in the lungs, which can be a complication of heart disease.
Choice D rationale:
Ascites is fluid accumulation in the abdomen, not the lungs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Reminding the client not to turn from side to side is not the most appropriate action. While it is important to limit movement after a cardiac catheterization, it is not the most critical action.
Choice B rationale:
Checking pedal pulses every 15 min is the most appropriate action. This is to monitor for signs of vascular compromise, which can occur after a cardiac catheterization with a femoral artery approach.
Choice C rationale:
Keeping the client in high-Fowler’s position for 6 hr is not the most appropriate action. While positioning can be important, it is not the most critical action after a cardiac catheterization with a femoral artery approach.
Choice D rationale:
Performing passive range-of-motion for the affected extremity is not the most appropriate action. While it is important to maintain mobility, it is not the most critical action after a cardiac catheterization with a femoral artery approach.
Correct Answer is A
Explanation
Choice A rationale:
Saturated fats increase blood cholesterol levels, which can lead to atherosclerosis and heart disease.
Choice B rationale:
The need for hydrogenation is not a reason to avoid saturated fats. Hydrogenation is a process that turns unsaturated fats into saturated fats.
Choice C rationale:
Saturated fats do not interfere with metabolism in a way that would be a reason to avoid them.
Choice D rationale:
Saturated fats do not block the absorption of nutrients. They are themselves a source of dietary energy.
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