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

Answer and Explanation

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.

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Correct Answer is A

Explanation

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.

A. Oxygen saturation levels B. Blood pressure measurements C. Assessment of cardiac structure and function D. White blood cell count

Correct Answer is C

Explanation

A) Incorrect. Oxygen saturation levels are typically assessed using pulse oximetry and are not provided by an echocardiogram.

B) Incorrect. Blood pressure measurements are not directly assessed through an echocardiogram.

C) Correct. An echocardiogram provides valuable information about the structure and function of the heart, which can help diagnose the underlying cause of pulmonary edema, such as heart failure.

D) Incorrect. A white blood cell count is not part of an echocardiogram and is not used to diagnose pulmonary edema.

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A nurse is caring for a client with pulmonary edema. Which assessment finding should the nurse prioritize when monitoring the client's respiratory status?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

A client with suspected pulmonary edema is scheduled for an echocardiogram. What information can this diagnostic test provide to assist in diagnosing the cause of pulmonary edema?

Correct Answer is C

Explanation

A nurse is caring for a client suspected of having pulmonary edema. Which diagnostic test is commonly used to assess the severity and underlying cause of pulmonary edema?

A client with known heart failure presents to the clinic with worsening pulmonary edema. Which symptom should the nurse expect the client to report as a common manifestation of pulmonary edema related to heart failure?

A client with pulmonary edema is prescribed diuretic therapy. What should the nurse monitor for as a potential side effect of diuretic administration?

A nurse is assessing a client with chronic pulmonary edema. Which clinical finding should the nurse expect to observe in this client?

A nurse is assessing a client with pulmonary edema. Which clinical manifestation should the nurse expect to find?

A client with pulmonary edema complains of a feeling of "suffocation." Which physiological mechanism contributes to this sensation in pulmonary edema?

A nurse is providing discharge instructions to a client recovering from pulmonary edema. What self-care measure should the nurse emphasize to help prevent recurrence?

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