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 B
Explanation
A) Incorrect. Intravenous antibiotics may be necessary for certain pulmonary infections, but they do not address the immediate oxygenation needs in acute pulmonary edema.
B) Correct. Providing supplemental oxygen helps increase the client's oxygen levels, improving oxygenation in acute pulmonary edema.
C) Incorrect. While deep breathing exercises are beneficial for overall lung health, they may not be sufficient to address the immediate oxygenation issue in acute pulmonary edema.
D) Incorrect. Antipyretic medications are used to reduce fever and do not directly improve oxygenation in pulmonary edema.
Correct Answer is B
Explanation
A) Incorrect. The supine position with legs elevated is not recommended for clients with pulmonary edema, as it can worsen fluid retention.
B) Correct. High Fowler's position allows for optimal lung expansion and improved gas exchange in clients with pulmonary edema.
C) Incorrect. The left lateral recumbent position may be used in some cases, but it is not the primary position for managing pulmonary edema.
D) Incorrect. The prone position is not typically recommended for clients with pulmonary edema.
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