The nurse is giving a report to the oncoming ICU shift for the most recent admission. The nurse indicates the client is hypotensive, has an S3 heart sound, has crackles, has pink frothy sputum, and the skin is diaphoretic and cool
The oncoming shift recognizes the differences between cardiogenic pulmonary edema (CPE) and noncardiogenic pulmonary edema (NCPE) as: 1. CPE clients will be hypotensive, have an S3 heart sound, and be cool and diaphoretic.
2. NCPE clients will be hypotensive, have an S3 heart sound, and have a cough.
3. CPE clients will be hypotensive, have an S3 heart sound, and have bounding pulses.
4. NCPE clients will be hypertensive, have bounding pulses, and have jugular vein distension.
CPE clients will be hypotensive, have an S3 heart sound, and be cool and diaphoretic.
Rationale: This client has CPE, as evidenced by the symptoms of hypotension, an S3 heart sound, and being cool and diaphoretic. Crackles and pink frothy sputum are found in both CPE and NCPE. NCPE clients will have hypertension, bounding pulses, and will be warm and dry.
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