A nurse is caring for a client with a history of myocardial infarction (MI). Which factor related to the client's medical history increases the risk of developing pulmonary edema?
Regular exercise regimen
Smoking cessation
Hypertension control
Prior heart muscle damage
The Correct Answer is D
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct. Hypertension is a significant risk factor for the development of heart failure, which can lead to pulmonary edema.
B) Incorrect. Diabetes, while a chronic condition, is not a direct risk factor for pulmonary edema.
C) Incorrect. Hypercholesterolemia (high cholesterol) can contribute to atherosclerosis and cardiovascular disease but is not a direct cause of pulmonary edema.
D) Incorrect. Osteoarthritis is a musculoskeletal condition and is not directly related to the development of pulmonary edema.
Correct Answer is C
Explanation
A) Incorrect. Atrial contraction contributes to ventricular filling but is not typically the primary site of impairment in heart failure leading to pulmonary edema.
B) Incorrect. Ventricular relaxation (diastole) is necessary for ventricular filling, but the impaired contraction during systole is a more common issue in heart failure.
C) Correct. Impaired ventricular contraction (systole) in heart failure results in reduced forward flow of blood and leads to fluid backup in the lungs, contributing to pulmonary edema.
D) Incorrect. Electrical conduction in the heart may affect heart rhythm but is not directly related to the development of pulmonary edema.
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