Respiratory Question #31

Question

The nurse is assessing a client with left-sided heart failure who is suspected of progressing into pulmonary edema. Which finding will the nurse report to the health care provider that is a manifestation of pulmonary edema?

Answers

  1. Bilateral crackles.
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  2. Peripheral 4+ edema.
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  3. Increased temperature.
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  4. Respiratory rate of 26 breaths/minute.
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Overview

Explanation

Bilateral crackles may be heard with pulmonary edema as a complication of left-sided heart failure. Fluid accumulates in the pulmonary vascular bed, and crackles may be heard. Also, there may be a productive cough with pink frothy sputum. Fever is not associated with pulmonary edema and pitting edema is associated with right heart failure more than with left heart failure. A respiratory rate above normal is not by itself indicative of pulmonary edema. This question hones in on both cardiac and respiratory since the two may be concurrent in many instances.

Learning Outcomes

Test Taking Tip

Video Rationale