NRS 480

1. A nurse is assessing a client who has pulmonary edema related to heart failure. Which of the following findings indicates effective treatment of the client's condition? A. Absence of adventitious breath sounds B. Presence of a nonproductive cough C. Decrease in respiratory rate at rest D. SaO2 86% on room air - A. Absence of adventitious breath sounds Adventitious breath sounds occur when there is fluid in the lungs. The absence of adventitious breath sounds indicates that the pulmona...

1. A nurse is evaluating the central venous pressure (CVP) of a client who has sustained multiple traumas. Which of the following interpretations of a low CVP pressure should the nurse make? A. Fluid overload Rationale: The CVP is the pressure in the vena cava, or right atrium, and is reflective of preload. A client who has fluid overload would have a high CVP value. B. Left ventricular failure Rationale: Left ventricular failure can be detected by an elevated pulmonary artery wedge pressure. ...