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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A) Incorrect. While surgical trauma can be a risk factor, it is not solely associated with incisions and scars.

B) Incorrect. The risk of pulmonary embolism after surgery is not low, and specific factors do contribute to the risk.

C) Correct. Prolonged immobility, surgical trauma, and changes in blood clotting are common risk factors for post-surgery pulmonary embolism.

D) Incorrect. Excessive fluid intake during recovery is not a primary risk factor for post-surgery pulmonary embolism.

A. "Avoid any form of physical activity to minimize the risk." B. "Maintain a diet high in cholesterol to prevent blood clots." C. "Completely eliminate all caffeine and alcohol from your diet." D. "Follow your healthcare provider's recommendations for anticoagulant therapy."

Correct Answer is D

Explanation

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client recovering from major surgery asks a nurse about the risk of developing a pulmonary embolism postoperatively. What should the nurse include in the explanation of post-surgery risk factors?

Correct Answer is C

Explanation

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?

Correct Answer is D

Explanation

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 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?

A nurse is caring for a client with a pulmonary embolism who is receiving tissue plasminogen activator (tP therapy. What is the primary purpose of tPA in this situation?

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 nurse is educating a client on how a pulmonary embolism can impact lung function. What should the nurse emphasize regarding the physiological effects?

A nurse is educating a client with pulmonary embolism about the importance of early recognition of symptoms. Which symptom should the client be advised to report immediately?

A nurse is explaining the risk factors for developing deep vein thrombosis (DVT) to a client. The client asks about the connection between DVT and pulmonary embolism. What should the nurse tell the client?

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