What would the nurse not expect to find in a patient who was experiencing acute decompensated heart failure with pulmonary edema?
1. Dyspnea at rest, peripheral edema
2. Hypertension, bradycardia
3. Increased coughing, crackles
4. Decreased O2 saturation, increased PAWP
2
Rationale 1: These are symptoms of acute decompensated heart failure with pulmonary edema.
Rationale 2: Hypertension and bradycardia are not symptoms of pulmonary edema.
Rationale 3: Fluid can be heard on chest auscultation and coughing will increase when attempting to try to clear the passageways of the backed-up fluid.
Rationale 4: Due to fluid in the capillary beds, less perfusion and ventilation occur, which lead to hypoxia and increased pressures in the pulmonary artery.
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