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 C

Explanation

A) Incorrect. Sudden onset of severe chest pain is not a typical finding in chronic pulmonary edema.

B) Incorrect. Profuse hemoptysis is not a common symptom of chronic pulmonary edema.

C) Correct. Bilateral pitting edema in the lower extremities is a common sign of fluid retention in chronic pulmonary edema.

D) Incorrect. While an increased heart rate may be present, palpitations are not a typical finding in chronic pulmonary edema.

A. Hemoptysis B. Orthopnea C. Paroxysmal nocturnal dyspnea D. Crepitus

Correct Answer is A

Explanation

A) Correct. Pink, frothy sputum is often referred to as hemoptysis and is a common presentation in pulmonary edema.

B) Incorrect. Orthopnea refers to difficulty breathing when lying flat and is associated with heart failure but is not specifically related to pink, frothy sputum.

C) Incorrect. Paroxysmal nocturnal dyspnea (PND) is another symptom of heart failure but does not involve the coughing up of pink, frothy sputum.

D) Incorrect. Crepitus is a term used to describe a crackling or popping sound and is not directly related to the sputum seen in 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 assessing a client with chronic pulmonary edema. Which clinical finding should the nurse expect to observe in this client?

Correct Answer is C

Explanation

A client is experiencing difficulty breathing and presents with pink, frothy sputum. What term is commonly used to describe this clinical presentation associated with pulmonary edema?

Correct Answer is A

Explanation

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