A nurse is explaining the concept of pulmonary edema to a client. Which description best characterizes pulmonary edema?
A bacterial lung infection
An inflammation of the pleura
Accumulation of excess fluid in the lungs
A blockage in the coronary arteries
The Correct Answer is C
A) Incorrect. Pulmonary edema is not a bacterial lung infection.
B) Incorrect. Pleuritis (inflammation of the pleura) is a different condition unrelated to pulmonary edema.
C) Correct. Pulmonary edema is characterized by the accumulation of excess fluid in the lungs, often in the alveoli and interstitial spaces.
D) Incorrect. A blockage in the coronary arteries is related to myocardial infarction (heart attack) and is not the primary characteristic of pulmonary edema.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Incorrect. Atrial contraction contributes to ventricular filling but is not typically the primary site of impairment in heart failure leading to pulmonary edema.
B) Incorrect. Ventricular relaxation (diastole) is necessary for ventricular filling, but the impaired contraction during systole is a more common issue in heart failure.
C) Correct. Impaired ventricular contraction (systole) in heart failure results in reduced forward flow of blood and leads to fluid backup in the lungs, contributing to pulmonary edema.
D) Incorrect. Electrical conduction in the heart may affect heart rhythm but is not directly related to the development of pulmonary edema.
Correct Answer is A
Explanation
A) Correct. Pulmonary edema can lead to impaired gas exchange, resulting in respiratory acidosis, characterized by a decreased pH on ABG analysis.
B) Incorrect. Pulmonary edema typically leads to decreased oxygenation, so an elevated PaO2 would not be consistent with this condition.
C) Incorrect. A decreased PaCO2 is more commonly associated with respiratory alkalosis and is not a primary finding in pulmonary edema.
D) Incorrect. Increased bicarbonate (HCO3-) levels are more indicative of metabolic alkalosis and are not typically associated with pulmonary edema.
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