A nurse is caring for a client with pulmonary edema. Which assessment finding should the nurse prioritize when monitoring the client's respiratory status?
Skin temperature and color
Urinary output
Bowel sounds
Peripheral edema
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Incorrect. Diuretics typically reduce blood pressure, so increased blood pressure is an unlikely side effect.
B) Incorrect. Hyperglycemia is not a common side effect of diuretics.
C) Correct. Diuretics can lead to the loss of potassium, resulting in hypokalemia.
D) Incorrect. Bradycardia is not typically associated with diuretic therapy.
Correct Answer is B
Explanation
A) Incorrect. Caffeine, when consumed in moderation, is not a known risk factor for pulmonary edema.
B) Correct. Excessive alcohol consumption can lead to heart-related issues, including alcoholic cardiomyopathy, which can increase the risk of pulmonary edema.
C) Incorrect. While nicotine is harmful to the cardiovascular system, it is not a direct cause of pulmonary edema.
D) Incorrect. While marijuana use can have various health effects, it is not a known direct risk factor for pulmonary edema.
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