A nurse is caring for a client with pulmonary edema. Which finding is indicative of severe pulmonary edema and impaired gas exchange?
Pink, frothy sputum
Low-grade fever
Clear breath sounds throughout the lung fields
Absence of peripheral edema
The Correct Answer is A
A) Correct. Pink, frothy sputum, often described as "pink froth," is indicative of severe pulmonary edema with the presence of blood-tinged fluid in the alveoli.
B) Incorrect. A low-grade fever is not a typical sign of pulmonary edema and may indicate another underlying condition.
C) Incorrect. Clear breath sounds throughout the lung fields are not indicative of severe pulmonary edema, which often presents with crackles.
D) Incorrect. The absence of peripheral edema does not necessarily reflect the severity of pulmonary edema; it may be related to factors other than heart failure.
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Related Questions
Correct Answer is D
Explanation
A) Incorrect. Regular physical exercise is generally a healthy behavior and is not a risk factor for pulmonary edema.
B) Incorrect. Low blood pressure (hypotension) is not a risk factor for pulmonary edema; in fact, high blood pressure (hypertension) is a more common risk factor.
C) Incorrect. Adequate fluid intake is important for overall health but is not a direct risk factor for pulmonary edema.
D) Correct. Chronic kidney disease can lead to fluid and electrolyte imbalances, which can contribute to the development of pulmonary edema.
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.
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