A nurse is caring for a client who has been admitted to the medical surgical unit.
Edema of the extremities
Jugular vein distention
Tachypnea
Ascites
Pink frothy sputum
Atelectasis
Correct Answer : A,B,C,E
A. Edema of the extremities
Fluid accumulation due to poor cardiac output contributes to peripheral edema.
B. Jugular vein distention
Reflects elevated central venous pressure from fluid overload.
C. Tachypnea
Increased respiratory rate is a compensatory mechanism for impaired oxygen exchange.
D. Ascites
Associated with liver disease or right-sided heart failure, not specifically pulmonary edema.
E. Pink frothy sputum
Classic sign of pulmonary edema due to fluid in the alveoli.
F. Atelectasis
Can occur in respiratory illness but is not a hallmark sign of pulmonary edema.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Coping ability
This is important but not a priority immediately post-op.
B. Surgical dressing
Should be assessed, but airway and tube patency are more urgent.
C. Bowel sounds
Not a priority immediately post-op; expected to be decreased due to anesthesia.
D. Patency of NG tube
Ensures gastric decompression, prevents aspiration, and supports post-op recovery.
Correct Answer is C
Explanation
A. Methadone
Used for opioid withdrawal, not alcohol.
B. Naloxone
Used to reverse opioid overdose.
C. Benzodiazepines
First-line treatment for alcohol withdrawal symptoms (e.g., diazepam, lorazepam). Helps prevent seizures and delirium tremens.
D. Diphenhydramine
Antihistamine not indicated for alcohol withdrawal.
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.
