A nurse is caring for a client with acute pulmonary edema. Which mechanism is responsible for the accumulation of fluid in the alveoli and interstitial spaces in this condition?
Increased hydrostatic pressure in pulmonary capillaries
Decreased capillary permeability in the lungs
Enhanced lymphatic drainage from the lungs
Elevated colloid osmotic pressure in pulmonary vessels
The Correct Answer is A
A) Correct. Increased hydrostatic pressure in pulmonary capillaries, often due to left ventricular failure, leads to the filtration of fluid from the capillaries into the alveoli and interstitial spaces, causing pulmonary edema.
B) Incorrect. Decreased capillary permeability is not typically a primary factor in the development of pulmonary edema.
C) Incorrect. Enhanced lymphatic drainage from the lungs is not a primary mechanism responsible for the accumulation of fluid in pulmonary edema.
D) Incorrect. Elevated colloid osmotic pressure in pulmonary vessels would oppose fluid accumulation in the alveoli and is not a primary cause of pulmonary edema.
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Related Questions
Correct Answer is C
Explanation
A) Incorrect. Routine physical activity does not typically precipitate the development of pulmonary edema.
B) Incorrect. Recent vaccination is not a common precipitating factor for pulmonary edema.
C) Correct. Severe hypertension can increase the workload of the heart, leading to left ventricular failure, which is a common precipitating event for pulmonary edema.
D) Incorrect. Controlled diabetes is not a precipitating factor for pulmonary edema; uncontrolled diabetes can have cardiovascular implications but is not directly related to this condition.
Correct Answer is A
Explanation
A) Correct. Diuretics are commonly used in the management of pulmonary edema to reduce fluid volume, preload, and afterload on the heart.
B) Incorrect. Antibiotics are used to treat bacterial infections and are not typically used as a primary treatment for pulmonary edema.
C) Incorrect. Bronchodilators are used to relieve airway constriction and are not the primary treatment for pulmonary edema.
D) Incorrect. Anticoagulants are used to prevent blood clot formation and are not the primary treatment for pulmonary edema.
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