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?
Aspirin
Warfarin (Coumadin)
Insulin
Nitroglycerin
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Incorrect. Visualizing the heart's electrical activity is typically done with an electrocardiogram (ECG), not a V/Q scan.
B) Correct. A ventilation-perfusion (V/Q) scan is used to assess lung function and oxygenation and to detect areas of the lung where blood flow and air ventilation do not match, which can indicate a pulmonary embolism.
C) Incorrect. Measuring blood clotting time is typically done using coagulation tests such as prothrombin time (PT) or activated partial thromboplastin time (aPTT).
D) Incorrect. Evaluating kidney function is not the primary purpose of a V/Q scan.
Correct Answer is D
Explanation
A) Incorrect. Jaundice is a yellowing of the skin and sclera due to elevated bilirubin levels, which is not described in the client's symptoms.
B) Incorrect. Pallor refers to paleness of the skin, which is not consistent with the client's cyanosis.
C) Incorrect. Erythema refers to redness of the skin due to increased blood flow, which is not the best description of the client's symptoms.
D) Correct. Cyanosis is the bluish discoloration of the skin, lips, and nail beds due to decreased oxygen saturation in the blood, which is indicative of a severe oxygen deficit often seen in pulmonary embolism.
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