A client recently had surgery and is concerned about the risk of developing a pulmonary embolism. What risk factors should the nurse discuss with the client?

"Surgery does not increase the risk of pulmonary embolism, so you don't need to worry about it."

"Risk factors for pulmonary embolism after surgery include prolonged immobility, use of birth control pills, and obesity."

"Smoking and high caffeine intake are the main risk factors for post-surgery pulmonary embolism."

"The risk of pulmonary embolism is higher if you have a family history of lung diseases."

Answer and Explanation

The Correct Answer is B

A) Incorrect. Surgery does increase the risk of pulmonary embolism, especially when accompanied by immobility.

B) Correct. Prolonged immobility, birth control pills, and obesity are known risk factors for post-surgery pulmonary embolism.

C) Incorrect. While smoking and caffeine intake can impact lung health, they are not the primary risk factors for post-surgery pulmonary embolism.

D) Incorrect. While a family history of clotting disorders can contribute to the risk, it is not a common risk factor discussed in the context of post-surgery pulmonary embolism.

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Correct Answer is A

Explanation

A) Correct. Chest pain that worsens with deep breaths (pleuritic chest pain) is a common and concerning symptom of pulmonary embolism.

B) Incorrect. Persistent cough with yellow-green mucus production is not a typical symptom of pulmonary embolism.

C) Incorrect. Lightheadedness and dizziness can be associated with pulmonary embolism but are less specific symptoms.

D) Incorrect. Swelling and redness in the lower legs are more indicative of deep vein thrombosis (DVT), which can sometimes lead to pulmonary embolism but are not direct symptoms of pulmonary embolism.

A. Fatigue and generalized weakness B. Persistent dry cough and sore throat C. Sharp, stabbing chest pain that worsens with deep breaths D. Increased appetite and weight gain

Correct Answer is C

Explanation

A) Incorrect. Fatigue and weakness can be nonspecific symptoms and are not specific to pulmonary embolism.

B) Incorrect. While cough and sore throat can be symptoms of respiratory conditions, they are not specific to pulmonary embolism.

C) Correct. Sharp, stabbing chest pain that worsens with deep breaths, known as pleuritic chest pain, is a classic symptom of pulmonary embolism.

D) Incorrect. Increased appetite and weight gain are not typically associated with pulmonary embolism and may suggest other conditions.

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A client recently had surgery and is concerned about the risk of developing a pulmonary embolism. What risk factors should the nurse discuss with the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a client about the signs and symptoms of a pulmonary embolism. Which symptom should the nurse emphasize as a common and concerning presentation of pulmonary embolism?

Correct Answer is A

Explanation

A nurse is assessing a client suspected of having a pulmonary embolism. Which symptom reported by the client is most indicative of this condition?

Correct Answer is C

Explanation

A client with a history of pulmonary embolism reports experiencing sudden shortness of breath, lightheadedness, and rapid heart rate. Which term best describes this clinical presentation?

A client with a history of pulmonary embolism asks the nurse about ways to prevent future episodes. What should the nurse include in the response?

A client with a history of smoking asks the nurse about the relationship between smoking and the risk of pulmonary embolism. How should the nurse explain this relationship?

A nurse is teaching a client about the risk factors for pulmonary embolism. The client asks about the connection between pregnancy and pulmonary embolism risk. How should the nurse respond?

A client with a history of recurrent pulmonary embolism is prescribed long-term anticoagulant therapy. What medication is commonly used for long-term anticoagulation in this situation?

A client suspected of having a pulmonary embolism complains of sudden chest pain and difficulty breathing. The nurse auscultates the client's chest and notes crackling sounds during inspiration. Which term describes these crackling sounds?

A nurse is explaining to a client why pulmonary embolism is considered a life-threatening condition. What aspect of pulmonary embolism should the nurse emphasize?

A client presents to the emergency department with suspected pulmonary embolism. What blood test can help assess the likelihood of pulmonary embolism and its severity?