The nurse is giving a report to the oncoming ICU shift for the most recent admission. The nurse indicates the patient is hypotensive, has an S3 heart sound, has crackles, has pink frothy sputum, and the skin is diaphoretic and cool
The oncoming shift recognizes which differences between cardiogenic pulmonary edema (CPE) and noncardiogenic pulmonary edema (NCPE)? 1. NCPE patients are hypotensive, have an S3 heart sound, and have a cough.
2. CPE patients are hypotensive, have an S3 heart sound, and have dry skin.
3. NCPE patients are hypertensive, have bounding pulses, and have jugular vein distension (JVD).
4. CPE patients are hypotensive, have an S3 heart sound, and are cool and diaphoretic.
4
Rationale 1: NCPE patients are more likely to be hypertensive, and S3 heart sounds are not common.
Rationale 2: CPE patients are more likely to be diaphoretic.
Rationale 3: JVD is a much more common finding in CPE.
Rationale 4: This patient 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.
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