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 B
Explanation
A) Incorrect. Pulmonary angiography involves the injection of contrast dye into the pulmonary arteries, not the insertion of a scope into the lungs.
B) Correct. Remaining still during the procedure is crucial to obtain clear images, and the client should be educated about the importance of cooperation.
C) Incorrect. Allergies to contrast dye can be a concern, and the client should inform the healthcare team of any allergies to prevent potential adverse reactions.
D) Incorrect. Mild discomfort and chest pain are not common during pulmonary angiography and should not be expected. The procedure is typically done under local anesthesia, and any discomfort should be reported to the healthcare team.
Correct Answer is A
Explanation
A) Correct. Prolonged immobility and a sedentary lifestyle are significant risk factors for pulmonary embolism.
B) Incorrect. Environmental pollutants and toxins are not primary causes of pulmonary embolism.
C) Incorrect. While healthy individuals can also develop pulmonary embolism, various factors contribute to its risk.
D) Incorrect. Lifestyle factors, as well as medical conditions, can contribute to the risk of pulmonary embolism.
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