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The client is suspected of having Pulmonary Embolism. Which diagnostic test confirms the diagnostic test confirms diagnosis?
A. Plasma D- DImer test
B. Arterial Blood Gas
C. Chest x-Ray
D. MRI
A. Plasma D- Dimer test
Fracture of a long bone forms what type of Embolus?
A. Fat Embolus
B. Carotid Embolus
C. DVT
D. Leg Embolus
A. Fat Embolus
Which drug dissolves thrombi?
A. Thrombolytic
B. Anticonvulsants
C. Anticoagulants
D. Antibiotics
A. Thrombolytic such as Alteplase or Reteplase
A patient begins to have chest pain, decreasing oxygen saturation, and dyspnea after surgery. The nurse expects the physician to order which of the following for a definitive diagnosis?
A. MRI.
B. Chest x-ray and ECG.
C. Electrolyte panel.
D. Complete blood count.
B. Chest x-ray and ECG.
Which nursing assessment data support that the client has experienced a pulmonary embolism?
A. Chest Pain with pain and tingling down right arm
B. Sudden chest pain and dyspnea
C. Runny Nose with ringing in ear
D. Leg pain with +4 edema
B. Sudden chest pain and dyspnea
What factors can cause Alterations in blood flow, Increasing the Risk of PE? (Select All that apply)
A. Surgery
B. Injury
C. Pregnancy
D. Headache
A. Surgery
B. Injury
C. Pregnancy
When administering Warfarin Which laboratory test should be monitored?
A. Potassium
B. Sodium
C. PT/INR
D. HGB
C. PT/INR
The nurse is teaching a client who will be discharged home on enoxaprin (Lovenox) about self-care at home. Which of the following will the nurse teach the client?
A. Use an electric razor.
B. Report blurred vision.
C. Use a hard toothbrush and floss twice daily.
D. Take aspirin for pain.
A. Use an electric razor.
The client id admitted to the medical unit diagnosed with PE. Which intervention should the nurse implement?
A. Administer Insulin
B. Assess patient bowel sounds
C. Prepare for thoracentesis
D. Institute and maintain bedrest
D. Institute and maintain bedrest
Which risks are considered modifiable? (Select all that apply)
A. Obesity
B. High blood pressure
C. Age
D. Raised Glucose
A. Obesity
B. High blood pressure
D. Raised Glucose
What is a blood clot in a deep vein, signs are: swelling, redness, warmth, and pain.
A. DVT
B. Venous stasis Ulcer
C. gangrene
D. PE
A. DVT
Early identification and notification of the provider of any change in condition indicating possible PE is an important nursing responsibility.
True or False
True
The client diagnosed with PE is being discharged. Which intervention should the nurse discuss with the client?
A. Increase fluid intake to 2-3L/day
B. Eat sugar snacks 3x a day
C. Avoiding large crowds
D. Receive PNA and FLU vaccines
A. Increase fluid intake to 2-3L/day
What term describes, "Coughing up blood?"
A. Hemoptysis
B. Rhinorrhea
C. Uremia
D. Glycerin
A. Hemoptysis
The nurse administers which of the following medications as part of pharmacological treatment aimed at prevention of pulmonary embolism?
A. Streptokinase
B. Aquamephyton (vitamin K)
C. Protamine sulfate
D. Enoxaparin (Lovenox)
D. Enoxaparin (Lovenox)
3) When a pulmonary embolism occurs, which of the following are the results?
A. The patient will become bradycardic
B. The patient will have an increase of PO2 noted on their arterial blood gas
C. Ventilation-perfusion mismatch and decrease in surfactant production by the alveoli
D. Nothing, patients usually show no clinical signs/symptoms.
C. Ventilation-perfusion mismatch and decrease in surfactant production by the alveoli
The patient is getting out of bed and becomes very anxious and has a feeling of impending doom. The nurse suspects PE, which action should the nurse implement first?
A. Administer Oxygen 10L via nasal cannula
B. Place the patient in High Fowlers
C. Obtain a blood glucose reading
D. Ascultate Bowel sounds
B. Place the patient in High Fowlers
Which Laboratory test Determines hypoxemia, hypocapnia, Respiratory Alkalosis?
A. Troponin
B. CBC
C. ABG's
D. Blood Sugar
C. ABG's
The nurse is caring for a client who is placed on strict bed rest. When planning care, the nurse initiates which of the following to prevent pulmonary emboli?
A. Provide active ROM to the legs
B. Restrict fluids.
C. Place a pillow under the knees.
D. Apply heating pad to both legs.
A. Provide active ROM to the legs
If a clot has embolized, it means that it has?
A. Attached itself to another clot
B. Decreased in size
C. Broken Loose
A. Hardened
C. Broken Loose