Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A. Limiting fluid intake to avoid excess fluid retention
Incorrect. Limiting fluid intake should be based on the client's specific medical recommendations and should not be a general guideline.
B. Avoiding all physical activity to reduce strain on the heart
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. Monitoring blood pressure only when symptoms worsen
Incorrect. Blood pressure should be regularly monitored as directed by the healthcare provider, not only when symptoms worsen.
D. Taking prescribed medications as directed
Correct. Taking prescribed medications as directed, especially diuretics and medications to manage underlying conditions, is crucial in preventing recurrence of pulmonary edema.
This question is an excerpt from Nurse Dive's nursing test bank - Pulmonary Edema. Take the full exam now
Full Explanation
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.
Similar Questions
A nurse is caring for a client with pulmonary edema. Which assessment finding should the nurse prioritize when monitoring the client's respiratory status?
A. Skin temperature and color
Correct. Skin temperature and color can provide important clues about tissue perfusion and oxygenation, which are critical in pulmonary edema.
B. Urinary output
Incorrect. While urinary output is important, it is not the primary focus when monitoring respiratory status in pulmonary edema.
C. Bowel sounds
Incorrect. Bowel sounds are unrelated to pulmonary edema and should not be the priority assessment.
D. Peripheral edema
Incorrect. Peripheral edema may be a sign of fluid retention, but skin color and temperature are more directly related to respiratory status.
Full Explanation
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.
A client with pulmonary edema is prescribed diuretic therapy. What should the nurse monitor for as a potential side effect of diuretic administration?
A. Increased blood pressure
Incorrect. Diuretics typically reduce blood pressure, so increased blood pressure is an unlikely side effect.
B. Hyperglycemia
Incorrect. Hyperglycemia is not a common side effect of diuretics.
C. Hypokalemia
Correct. Diuretics can lead to the loss of potassium, resulting in hypokalemia.
D. Bradycardia
Incorrect. Bradycardia is not typically associated with diuretic therapy.
Full Explanation
A) Incorrect. Diuretics typically reduce blood pressure, so increased blood pressure is an unlikely side effect.
B) Incorrect. Hyperglycemia is not a common side effect of diuretics.
C) Correct. Diuretics can lead to the loss of potassium, resulting in hypokalemia.
D) Incorrect. Bradycardia is not typically associated with diuretic therapy.
A nurse is assessing a client with pulmonary edema. Which clinical manifestation should the nurse expect to find?
A. Elevated body temperature
Incorrect. Elevated body temperature is not a typical manifestation of pulmonary edema.
B. Bradycardia
Incorrect. Bradycardia is not a common finding in pulmonary edema.
C. Crackles in the lung fields
Correct. Crackles in the lung fields are a hallmark sign of pulmonary edema due to the accumulation of fluid in the alveoli.
D. Hypertension
Incorrect. Hypertension is not a typical finding in pulmonary edema; it is more commonly associated with conditions like heart failure.
Full Explanation
A) Incorrect. Elevated body temperature is not a typical manifestation of pulmonary edema.
B) Incorrect. Bradycardia is not a common finding in pulmonary edema.
C) Correct. Crackles in the lung fields are a hallmark sign of pulmonary edema due to the accumulation of fluid in the alveoli.
D) Incorrect. Hypertension is not a typical finding in pulmonary edema; it is more commonly associated with conditions like heart failure.