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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Incorrect. Elevated body temperature is not a typical manifestation of pulmonary edema.
B) Incorrect. Bradycardia is not a common finding in pulmonary edema.
C) Correct. Crackles in the lung fields are a hallmark sign of pulmonary edema due to the accumulation of fluid in the alveoli.
D) Incorrect. Hypertension is not a typical finding in pulmonary edema; it is more commonly associated with conditions like heart failure.
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.
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