A nurse is caring for a client with acute pulmonary edema. Which intervention should the nurse prioritize to improve the client's oxygenation?
Administering intravenous antibiotics
Providing supplemental oxygen therapy
Encouraging deep breathing exercises
Administering antipyretic medications
The Correct Answer is B
A) Incorrect. Intravenous antibiotics may be necessary for certain pulmonary infections, but they do not address the immediate oxygenation needs in acute pulmonary edema.
B) Correct. Providing supplemental oxygen helps increase the client's oxygen levels, improving oxygenation in acute pulmonary edema.
C) Incorrect. While deep breathing exercises are beneficial for overall lung health, they may not be sufficient to address the immediate oxygenation issue in acute pulmonary edema.
D) Incorrect. Antipyretic medications are used to reduce fever and do not directly improve oxygenation in pulmonary edema.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Incorrect. Increased lung compliance would not contribute to pulmonary edema; in fact, it might reduce the risk of fluid accumulation in the lungs.
B) Correct. Impaired alveolar fluid clearance, often due to altered pulmonary capillary permeability, is a key factor in the pathophysiology of pulmonary edema.
C) Incorrect. Constricted pulmonary blood vessels (vasoconstriction) would reduce blood flow to the lungs and are not a primary factor in pulmonary edema.
D) Incorrect. Enhanced left ventricular contractility, while beneficial for cardiac function, is not directly related to the development of pulmonary edema.
Correct Answer is A
Explanation
A) Correct. Skin temperature and color can provide important clues about tissue perfusion and oxygenation, which are critical in pulmonary edema.
B) Incorrect. While urinary output is important, it is not the primary focus when monitoring respiratory status in pulmonary edema.
C) Incorrect. Bowel sounds are unrelated to pulmonary edema and should not be the priority assessment.
D) Incorrect. Peripheral edema may be a sign of fluid retention, but skin color and temperature are more directly related to respiratory status.
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