A 70-year-old client presents to the clinic with acute onset of dyspnea and increased respiratory secretions. The health care provider diagnoses the client with pulmonary edema. The family asks the nurse what that means
The nurse correctly states that pulmonary edema: 1. "Is too much fluid in the lungs.".
2. "Is a narrowing of the coronary vessels that causes the heart to stop working correctly.".
3. "Rarely affects individuals older than 60.".
4. "Is caused by a person's excessive working when younger.".
"Is too much fluid in the lungs.".
Rationale: Pulmonary edema is the accumulation of excess fluid in the lungs caused by cardiac and noncardiac factors. Heart failure is often seen in individuals older than 65 and is a common cause of pulmonary edema in elders. There is no evidence that pulmonary edema is related to an individual's work history when younger. A narrowing of the coronary vessels (i.e., a potential heart attack) could contribute to heart failure, which could cause pulmonary edema, but there is no evidence from the question that this is the cause.
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