A nurse is providing discharge instructions to a client recovering from pulmonary edema. What self-care measure should the nurse emphasize to help prevent recurrence?
Limiting fluid intake to avoid excess fluid retention
Avoiding all physical activity to reduce strain on the heart
Monitoring blood pressure only when symptoms worsen
Taking prescribed medications as directed
The Correct Answer is D
A) Incorrect. Limiting fluid intake should be based on the client's specific medical recommendations and should not be a general guideline.
B) Incorrect. Avoiding all physical activity is not necessary and can lead to deconditioning. Clients should engage in appropriate physical activity as advised by their healthcare provider.
C) Incorrect. Blood pressure should be regularly monitored as directed by the healthcare provider, not only when symptoms worsen.
D) Correct. Taking prescribed medications as directed, especially diuretics and medications to manage underlying conditions, is crucial in preventing recurrence of pulmonary edema.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Incorrect. A decreased respiratory rate is not typically associated with pulmonary edema, which often leads to increased respiratory effort.
B) Correct. Inspiratory crackles in the lung bases are indicative of fluid accumulation in the alveoli and are a common physical finding in pulmonary edema.
C) Incorrect. Increased breath sounds are not typically associated with pulmonary edema; instead, crackles or wheezing may be heard.
D) Incorrect. Diminished heart sounds are not a characteristic finding in pulmonary edema.
Correct Answer is A
Explanation
A) Correct. Increased hydrostatic pressure in pulmonary capillaries, often due to left ventricular failure, leads to the filtration of fluid from the capillaries into the alveoli and interstitial spaces, causing pulmonary edema.
B) Incorrect. Decreased capillary permeability is not typically a primary factor in the development of pulmonary edema.
C) Incorrect. Enhanced lymphatic drainage from the lungs is not a primary mechanism responsible for the accumulation of fluid in pulmonary edema.
D) Incorrect. Elevated colloid osmotic pressure in pulmonary vessels would oppose fluid accumulation in the alveoli and is not a primary cause of pulmonary edema.
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