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. While pulmonary embolism can strain the heart, it is primarily a result of disrupted blood flow to the lungs, not heart failure.
B) Incorrect. While pulmonary embolism can impact lung function, it does so through blocked blood flow rather than severe inflammation.
C) Correct. The most critical aspect of pulmonary embolism is the blockage of blood flow to the lungs, which can lead to severe oxygen deprivation and be fatal.
D) Incorrect. The collapse of bronchial tubes is not a characteristic of pulmonary embolism.
Correct Answer is C
Explanation
A) Incorrect. This description is more related to coronary artery blockages, not pulmonary embolism.
B) Incorrect. This describes a different lung condition called pneumonia, not pulmonary embolism.
C) Correct. A pulmonary embolism is a blockage in the pulmonary arteries, typically caused by a blood clot traveling from elsewhere in the body.
D) Incorrect. This describes a characteristic of chronic obstructive pulmonary disease (COPD), not pulmonary embolism.
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