Difficulty: Medium
Average Score: 75%
Simulated
A nurse is caring for a client who has bounding pulses, crackles on auscultation, and pink frothy secretions when receiving suctioning. The nurse should recognize these assessment findings as indicating which of the following?
Correct answer
C
Rationale
Bounding pulses, crackles, and pink frothy secretions indicate fluid volume excess, often due to heart failure causing pulmonary edema. Increased cardiac output, pleural effusion, and aspiration do not typically present with these findings.