A nurse is analyzing test results for a client who has a pulmonary embolism. The nurse should identify that which of the following findings indicates a moderate to large pulmonary embolism and the possibility of death?

Tachycardia

Pleural effusion

Respiratory alkalosis

Increased troponin levels

Answer and Explanation

The Correct Answer is D

A. Tachycardia: Tachycardia is a common early sign of pulmonary embolism caused by hypoxia and sympathetic stimulation. However, it is nonspecific and not a direct indicator of embolism size or mortality risk.
B. Pleural effusion: A small pleural effusion can occur with a pulmonary embolism due to inflammation or infarction, but its presence does not correlate with embolism severity or predict outcomes such as death.
C. Respiratory alkalosis: Respiratory alkalosis is a typical response to hyperventilation in early PE. While common, it does not indicate the extent of the embolism or the risk of mortality and can be seen in mild cases.
D. Increased troponin levels: Elevated troponin indicates right ventricular strain or injury due to a moderate to large pulmonary embolism. This cardiac biomarker is associated with a higher risk of complications and death, signaling hemodynamic stress from the embolic event..

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","C","D"]

Explanation

A. Decreased visual acuity: Decreased visual acuity is a significant factor in head injuries in older adults. Poor vision increases the likelihood of falls and accidents, as individuals are less able to detect obstacles or changes in their environment, leading to an increased risk of injury, including head trauma.
B. Motor vehicle crashes: While motor vehicle accidents can lead to head injuries, they are not as prevalent in older adults compared to other causes such as falls. Older adults are more likely to sustain head injuries from falls rather than from motor vehicle crashes, especially since they may not be as active in driving or are more cautious on the road.
C. Polypharmacy: Polypharmacy, or the use of multiple medications, is a common issue in older adults and can significantly contribute to the risk of falls and head injuries. Certain medications, such as sedatives, antihypertensives, and medications affecting balance or cognition, can increase the risk of dizziness, confusion, and falls, leading to head trauma.
D. Weakness: Muscle weakness, particularly in the lower extremities, is common in older adults and increases the risk of falls. Weakness can impair balance and coordination, making it harder for individuals to prevent falls or recover from them, resulting in head injuries.
E. Chronic hypertension: While chronic hypertension is a risk factor for cardiovascular events such as stroke, it is not a direct cause of head injuries in older adults. Hypertension may contribute to falls indirectly by affecting the ability to maintain balance due to related health complications, but it is not a primary cause of head injuries.
F. Previous military experience: Military experience is not a typical risk factor for head injuries in older adults. Although previous trauma or combat exposure could result in earlier injuries, it is not a common cause of head injuries in older adults compared to other factors like falls, medication use, or weakness.

A. Client D ran out of diuretics yesterday. The client's blood pressure is 136/84, heart rate is 88/min, respiratory rate is 18/min, and pulse oximetry is 95% B. Client B is obese and has right lower leg pain and swelling. The client's heart rate is 76/min and regular, blood pressure is 126/78, respiratory rate is 18/min, and pulse oximetry is 96%. C. Client A reports dizziness and confusion. The client's heart rate is 120/min and irregular, blood pressure is 88/52, respiratory rate is 26/min, and pulse oximetry is82% D. Client C reports a urinary tract infection (UTI). The client's heart rate is 72/min, blood pressure is 110/70, respiratory rate is 15/min, and pulse oximetry is 98%.

Correct Answer is C

Explanation

A. Client D ran out of diuretics yesterday. The client's blood pressure is 136/84, heart rate is 88/min, respiratory rate is 18/min, and pulse oximetry is 95%: This client is stable with normal vital signs and does not show evidence of immediate life-threatening conditions. Although running out of diuretics may require prompt attention, it does not qualify as ESI Level 1.
B. Client B is obese and has right lower leg pain and swelling. The client's heart rate is 76/min and regular, blood pressure is 126/78, respiratory rate is 18/min, and pulse oximetry is 96%: This presentation could indicate a deep vein thrombosis, which is serious but not immediately life-threatening. The client is hemodynamically stable and does not meet the criteria for ESI Level 1.
C. Client A reports dizziness and confusion. The client's heart rate is 120/min and irregular, blood pressure is 88/52, respiratory rate is 26/min, and pulse oximetry is 82%: This client shows signs of hemodynamic instability, including hypotension, hypoxia, altered mental status, and an irregular, rapid heart rate. These findings indicate a critical condition requiring immediate life-saving interventions, qualifying the client for ESI Level 1.
D. Client C reports a urinary tract infection (UTI). The client's heart rate is 72/min, blood pressure is 110/70, respiratory rate is 15/min, and pulse oximetry is 98%: This client is stable with no signs of systemic or life-threatening complications. UTI symptoms can be uncomfortable but are not immediately life-threatening if vital signs are normal.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is analyzing test results for a client who has a pulmonary embolism. The nurse should identify that which of the following findings indicates a moderate to large pulmonary embolism and the possibility of death?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an older adult client in the emergency department who sustained a head injury due to a fall. Which of the following are common reasons for head injuries in older adults? (Select All that Apply.)

Correct Answer is ["A","C","D"]

Explanation

A nurse is assessing a group of clients. Which of the following clients should be categorized as Emergency Severity Index Level 1?

Correct Answer is C

Explanation

A nurse is providing education about insulin management to a client newly diagnosed with type 1 diabetes mellitus. Which of the following statements by the nurse about injection site selection is accurate?

A nurse is caring for a client who has a positive Trousseau's sign and bone pain. Which of the following electrolyte imbalances should the nurse suspect to find with this client?

A nurse is caring for a client who has acute respiratory distress syndrome (ARDS). The nurse should identify which of the following changes are characteristic of cellular damage to the pulmonary epithelium? (Select All that Apply.)

A nurse is reinforcing teaching to a group of high school students about how penetrating traumatic brain injuries cause damage to the brain. Which of the following statements should the nurse include in the teaching?

A nurse is providing care for a client who has hyperosmolar hyperglycemic syndrome (HHS). Which of the following is a clinical manifestation of HHS?

A nurse is planning care for a client who has a mild traumatic brain injury (TBI). Which of the following should the nurse include in the plan of care?

A nurse is preparing to provide care for a client in the emergency department who has syndrome of inappropriate antidiuretic hormone (SIADH). The client has a serum sodium of 115 mEq/L (136-145 mEq/L). Which of the following IV solutions should the nurse anticipate will be prescribed?