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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Related Questions
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.
Correct Answer is A
Explanation
A) Correct. Chest pain that worsens with deep breaths (pleuritic chest pain) is a common and concerning symptom of pulmonary embolism.
B) Incorrect. Persistent cough with yellow-green mucus production is not a typical symptom of pulmonary embolism.
C) Incorrect. Lightheadedness and dizziness can be associated with pulmonary embolism but are less specific symptoms.
D) Incorrect. Swelling and redness in the lower legs are more indicative of deep vein thrombosis (DVT), which can sometimes lead to pulmonary embolism but are not direct symptoms of pulmonary embolism.
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