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

Answer and Explanation

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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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.

A. Increased myocardial contractility B. Reduced afterload on the heart C. Left ventricular remodeling D. Enhanced pulmonary vasodilation

Correct Answer is C

Explanation

A) Incorrect. Increased myocardial contractility would not typically lead to left ventricular remodeling but might improve cardiac function.

B) Incorrect. Reduced afterload on the heart may be beneficial, but it is not a primary factor in left ventricular remodeling.

C) Correct. Left ventricular remodeling, often occurring after a myocardial infarction, involves changes in the size and shape of the ventricle, which can impair cardiac function and lead to pulmonary edema.

D) Incorrect. Enhanced pulmonary vasodilation is not a primary cause of left ventricular remodeling or pulmonary edema.

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A nurse is caring for a client with pulmonary edema. Which finding is indicative of severe pulmonary edema and impaired gas exchange?

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Naxlex Comprehensive Predictor Exams

A client with known heart failure presents to the clinic with worsening pulmonary edema. Which symptom should the nurse expect the client to report as a common manifestation of pulmonary edema related to heart failure?

Correct Answer is B

Explanation

A client with a history of myocardial infarction (MI) develops pulmonary edema. Which pathophysiological process is likely occurring in this client, leading to fluid accumulation in the lungs?

Correct Answer is C

Explanation

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