A nurse is assessing a client suspected of having a pulmonary embolism. Which symptom reported by the client is most indicative of this condition?
Fatigue and generalized weakness
Persistent dry cough and sore throat
Sharp, stabbing chest pain that worsens with deep breaths
Increased appetite and weight gain
The Correct Answer is C
A) Incorrect. Fatigue and weakness can be nonspecific symptoms and are not specific to pulmonary embolism.
B) Incorrect. While cough and sore throat can be symptoms of respiratory conditions, they are not specific to pulmonary embolism.
C) Correct. Sharp, stabbing chest pain that worsens with deep breaths, known as pleuritic chest pain, is a classic symptom of pulmonary embolism.
D) Incorrect. Increased appetite and weight gain are not typically associated with pulmonary embolism and may suggest other conditions.
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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 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.
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