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?
"Avoid any form of physical activity to minimize the risk."
"Maintain a diet high in cholesterol to prevent blood clots."
"Completely eliminate all caffeine and alcohol from your diet."
"Follow your healthcare provider's recommendations for anticoagulant therapy."
The Correct Answer is D
A) Incorrect. Avoiding all physical activity is not recommended. Clients should engage in appropriate physical activity, and the level of activity may be adjusted based on their condition.
B) Incorrect. A diet high in cholesterol is not a preventive measure for blood clots; in fact, it can contribute to cardiovascular risk factors.
C) Incorrect. While excessive caffeine and alcohol intake should be avoided, eliminating them completely is not a specific preventive measure for pulmonary embolism.
D) Correct. Following the healthcare provider's recommendations for anticoagulant therapy is crucial in preventing recurrent pulmonary embolism, especially in individuals with a history of the condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Incorrect. Intravenous antibiotics are not typically used as the initial treatment for pulmonary embolism. Antibiotics are used to treat bacterial infections, not blood clots.
B) Correct. Anticoagulant therapy, such as heparin or low-molecular-weight heparin, is often the initial treatment for pulmonary embolism to prevent further clot formation and reduce the risk of complications.
C) Incorrect. Emergency surgical removal of the embolism is considered in severe cases but is not the common initial treatment approach.
D) Incorrect. Placement of a chest tube for drainage is not a standard treatment for pulmonary embolism; it is used for conditions involving pleural effusion or pneumothorax.
Correct Answer is D
Explanation
A) Incorrect. Hemoptysis refers to coughing up blood, which is not described in the client's symptoms.
B) Incorrect. Orthopnea is the inability to breathe comfortably when lying flat and is not the best description of the client's symptoms.
C) Incorrect. Syncope refers to fainting or loss of consciousness, which is not the primary symptom described.
D) Correct. Dyspnea, or difficulty breathing, along with lightheadedness and rapid heart rate, is a common presentation of pulmonary embolism.
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