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 B

Explanation

A) Incorrect. Urinary output is important but does not directly assess the client's oxygenation status.

B) Correct. Monitoring the respiratory rate and effort is essential to ensure the client is adequately oxygenated and not in respiratory distress.

C) Incorrect. Skin turgor is unrelated to oxygenation and pulmonary edema.

D) Incorrect. Bowel sounds do not provide information about the client's oxygenation status.

A. Nausea and vomiting B. Orthopnea (difficulty breathing when lying flat) C. Excessive sweating and diaphoresis D. Sharp, stabbing chest pain

Correct Answer is B

Explanation

A) Incorrect. Nausea and vomiting are not typically associated with pulmonary edema.

B) Correct. Orthopnea, or difficulty breathing when lying flat, is a common symptom of pulmonary edema related to heart failure.

C) Incorrect. While sweating and diaphoresis can occur in response to respiratory distress, they are not specific to pulmonary edema.

D) Incorrect. Sharp, stabbing chest pain is not a common manifestation of pulmonary edema but may occur with other cardiac or respiratory conditions.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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