A client with pulmonary embolism is experiencing severe shortness of breath. Which nursing intervention takes priority in this situation?
Administering pain medication
Initiating anticoagulant therapy
Providing supplemental oxygen
Encouraging ambulation
The Correct Answer is C
A) Incorrect. While pain management is important, providing supplemental oxygen to address severe shortness of breath takes priority.
B) Incorrect. Initiating anticoagulant therapy is essential but may take some time to have an effect. Oxygen therapy should be provided immediately to address the client's oxygenation.
C) Correct. Providing supplemental oxygen is the priority intervention for a client with severe
shortness of breath to ensure adequate oxygenation.
D) Incorrect. Encouraging ambulation is not appropriate in a client with severe shortness of breath. Stabilizing the client's oxygenation and condition is the immediate concern.
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
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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