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?

Hemoptysis

Orthopnea

Syncope

Dyspnea

Answer and Explanation

The Correct Answer is D

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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Correct Answer is B

Explanation

A) Incorrect. Aspirin is an antiplatelet agent, not a long-term anticoagulant, and it is typically not used as the primary treatment for pulmonary embolism.

B) Correct. Warfarin (Coumadin) is commonly used for long-term anticoagulation in individuals with a history of recurrent pulmonary embolism. It helps prevent the formation of new blood clots.

C) Incorrect. Insulin is used to manage blood sugar levels in diabetes and is not a medication for anticoagulation.

D) Incorrect. Nitroglycerin is used to relieve chest pain (angina) related to heart conditions but is not an anticoagulant.

A. Anhedonia B. Euphoria C. Anxiety D. Apathy

Correct Answer is C

Explanation

A) Incorrect. Anhedonia refers to the inability to experience pleasure and is not the best description of the client's symptom.

B) Incorrect. Euphoria is a state of intense happiness or elation, which is not consistent with the client's report.

C) Correct. The client's feeling of impending doom and restlessness is characteristic of anxiety, which can occur in response to a pulmonary embolism.

D) Incorrect. Apathy refers to a lack of interest or emotion and does not describe the client's state of restlessness and fear.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

A nurse is assessing a client with suspected pulmonary embolism. The client reports feeling a sudden sense of impending doom and restlessness. Which term best describes this psychological symptom?

Correct Answer is C

Explanation

A nurse is caring for a client suspected of having a pulmonary embolism. Which diagnostic test is commonly used to confirm the presence of a pulmonary embolism?

A nurse is educating a client with a history of pulmonary embolism on lifestyle modifications to reduce the risk of recurrence. Which of the following recommendations is appropriate?

A nurse is educating a client about the risk factors for pulmonary embolism. Which statement made by the client indicates a correct understanding of the risk factors?

A client with pulmonary embolism is experiencing severe shortness of breath. Which nursing intervention takes priority in this situation?

A client with suspected pulmonary embolism is undergoing a ventilation-perfusion (V/Q) scan. What is the purpose of this imaging test?

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 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 caring for a client with suspected pulmonary embolism who is undergoing diagnostic testing. What diagnostic test is often used as an initial screening tool for pulmonary embolism?