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. Intravenous antibiotics are not typically used as the initial treatment for pulmonary embolism. Antibiotics are used to treat bacterial infections, not blood clots.
B) Correct. Anticoagulant therapy, such as heparin or low-molecular-weight heparin, is often the initial treatment for pulmonary embolism to prevent further clot formation and reduce the risk of complications.
C) Incorrect. Emergency surgical removal of the embolism is considered in severe cases but is not the common initial treatment approach.
D) Incorrect. Placement of a chest tube for drainage is not a standard treatment for pulmonary embolism; it is used for conditions involving pleural effusion or pneumothorax.
Correct Answer is B
Explanation
A) Incorrect. Pregnancy can increase the risk of pulmonary embolism, especially during specific periods.
B) Correct. Pregnancy is a known risk factor for pulmonary embolism due to hormonal changes, increased clotting factors, and reduced mobility during pregnancy.
C) Incorrect. While the risk may be higher during the postpartum period, it can also occur during pregnancy.
D) Incorrect. While genetics can play a role, other factors associated with pregnancy contribute to the risk of pulmonary embolism.
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