A patient diagnosed with sepsis suddenly develops dyspnea, crackles, hypertension, bounding pulses, agitation, and confusion. The nurse suspects that which condition has developed?
1. Noncardiogenic pulmonary edema
2. Right-sided heart failure
3. Left-sided heart failure
4. Constrictive pericarditis
1
Rationale 1: The septic patient who suddenly develops these symptoms has probably developed noncardiogenic pulmonary edema. Agitation and confusion are often among the first signs of developing hypoxemia, which would be common to both cardiogenic and noncardiogenic pulmonary edema. Hypertension and bounding pulses are more common with noncardiogenic pulmonary edema.
Rationale 2: Right-sided heart failure is a cardiogenic cause of pulmonary edema, which is not well supported by this assessment.
Rationale 3: Left-sided heart failure is a cardiogenic cause of pulmonary edema, which is not well supported by this assessment.
Rationale 4: Constrictive pericarditis is a cardiogenic cause of pulmonary edema, which is not well supported by this assessment.
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