Deck 19: Pulmonary Edema

Question 1

As pulmonary edema progressively worsens, the fluid moves in the following sequence:

A) Peribronchial interstitial spaces, bronchi, trachea
B)Alveoli , bronchioles, bronchi
C)Bronchioles, bronchi, trachea
D)Pulmonary capillaries, alveoli, bronchioles

Answer 1

Alveoli , bronchioles, bronchi

Question 2

Mask CPAP is used with pulmonary edema patients because it does all of the following EXCEPT:

A) decrease vascular congestion.
B)reduce work of breathing.
C)it is less expensive than mechanical ventilation.
D)improve lung compliance.

Answer 2

it is less expensive than mechanical ventilation.

Question 3

The major pathologic or structural changes seen in the lungs with pulmonary edema include:
1) atelectasis.
2) bronchospasm.
3) high surface tension of alveolar fluids.
4) alveolar flooding.

A)1, 4
B)2, 3
C)1, 2, 3
D)1, 3, 4

Answer 3

1, 3, 4

Question 4

Pulmonary edema manifests itself clinically as a/an:

A) restrictive pulmonary disorder.
B)obstructive pulmonary disorder.
C)equally restrictive and obstructive disorder.
D)restrictive cardiac disorder.

Question 5

Your patient has noncardiogenic pulmonary edema. What chest radiograph findings would be expected?
1) "Bat's wings" pattern fluffy infiltrates
2) Normal cardiac silhouette
3) Fluffy densities near the hilum
4) Pleural effusion

A)1
B)2, 3
C)3, 4
D)1, 2, 4

Question 6

Management of cardiogenic pulmonary edema includes the following:
1) giving the patient a low salt intake diet.
2) giving the patient a medication to lower blood pressure.
3) giving the patient a diuretic drug.
4) performing balloon angioplasty on the patient.

A)1, 4
B)2, 3
C)3, 4
D)1, 2, 3

Question 7

Which of the following is/are considered noncardiogenic cause(s) of increased capillary permeability?
1) Therapeutic lung radiation
2) Cigarette smoke
3) Acute respiratory distress syndrome (ARDS)
4) Inhaled phosgene

A)1
B)2, 3
C)1, 3, 4
D)1, 2, 3, 4

Question 8

All of the following are causes of cardiogenic pulmonary edema EXCEPT:

A) myocardial infarction.
B)mitral valve disease.
C)allergic reaction to drugs.
D)congenital heart defects.

Question 9

Your patient with cardiogenic pulmonary edema has had intravascular catheters placed for monitoring purposes. Which of the following values would be expected?
1) Decreased SV
2) Increased PCWP
3) Increased CVP
4) Decreased RAP

A)2, 3
B)1, 4
C)1, 2, 3
D)1, 2, 3, 4

Question 10

What is the normal hydrostatic pressure in the pulmonary capillaries?

A) 0 to 5 mm Hg
B)5 to 10 mm Hg
C)10 to 15 mm Hg
D)15 to 20 mm Hg

Question 11

All of the following are positive risk factors for coronary heart disease (CHD) EXCEPT:

A) elevated homocysteine level.
B)elevated vitamin E level.
C)hypertension.
D)diabetes mellitus.

Question 12

Lymphatic insufficiency could be caused by:
1) lung transplantation.
2) lymphangitic carcinomatosis.
3) removal of pleural fluid.
4) decreased oncotic pressure.

A)1, 2
B)3, 4
C)1, 2, 4
D)1, 2, 3, 4

Question 13

Your patient with cardiogenic pulmonary edema would be expected to have all of the following chest radiograph findings EXCEPT:

A) depressed diaphragms.
B)pleural effusion.
C)cardiomegaly.
D)bilateral "butterfly" pattern fluffy infiltrates.

Question 14

Your patient has a decreased oncotic pressure. What can be done to increase it?

A) High-salt diet
B)Mannitol
C)Albumin withheld
D)Morphine sulfate

Question 15

Your patient with pulmonary edema is cyanotic and complaining of difficulty breathing. What should be recommended by the respiratory therapist?

A) Provide supplemental oxygen.
B)Begin mechanical ventilation.
C)Have the patient use pursed-lip breathing.
D)Begin bronchopulmonary hygiene therapy.