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 B
Explanation
Choice A rationale:
A banana shake is not appropriate because it is not a clear liquid. Clear liquids are foods that are clear and liquid at room temperature.
Choice B rationale:
Grape juice is a clear liquid, which is appropriate for a client who is 2 hours post-op and receiving a clear liquid diet.
Choice C rationale:
Scrambled eggs with avocado is not a clear liquid. It is a solid food, which is not appropriate for a client who is 2 hours post-op and receiving a clear liquid diet.
Choice D rationale:
Milk is not a clear liquid. It is a dairy product, which is not appropriate for a client who is 2 hours post-op and receiving a clear liquid diet.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
