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A nurse is assessing a client who has pulmonary edema. Which of the following findings should the nurse expect?

A.

Bradycardia

B.

Wheezing

C.

Pale, Dry Skin

D.

Pink, frothy sputum

Answer and Explanation

The Correct Answer is D

Rationale: 

 

A. Bradycardia is not typically associated with pulmonary edema; instead, tachycardia is more common as the body tries to compensate for decreased oxygenation. 

 

B. Wheezing may occur in certain respiratory conditions but is not a classic finding in pulmonary edema; instead, crackles or rales are more expected due to fluid accumulation. 

 

C. Pale, dry skin is not characteristic of pulmonary edema; the client may present with cyanosis or clammy skin due to hypoxia. 

 

D. Pink, frothy sputum is a classic sign of pulmonary edema, indicating fluid in the alveoli and is often associated with acute heart failure.

 


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Correct Answer is D

Explanation

Rationale:

A. Decreased cholesterol is not a primary effect of chlorpromazine; the medication is primarily used for psychiatric conditions, not lipid management.

B. While chlorpromazine may have sedative effects that could impact blood pressure, decreased blood pressure is not a direct indicator of its effectiveness in treating psychiatric symptoms.

C. Decreased esophageal reflux is not a relevant effect of chlorpromazine, as it is primarily used for managing psychotic symptoms.

D. Decreased hallucinations is a direct indication of the medication's effectiveness in treating conditions such as schizophrenia or other psychotic disorders, as chlorpromazine is an antipsychotic medication.

Correct Answer is ["B","D","E"]

Explanation

Rationale:

A. Polyuria is not typically associated with immobility; instead, immobility can lead to urinary retention.

B. Contractures of the extremities occur due to prolonged immobility, leading to shortening of muscles and tendons.

C. Diarrhea is not a common complication of immobility; constipation is more frequently seen due to decreased mobility.

D. Crackles in the lungs can develop due to stasis of secretions and respiratory complications related to immobility.

E. Pressure ulcers develop from prolonged pressure on the skin due to immobility, especially over bony prominences.

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