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

Answer and Explanation

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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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.

A. Smoking cessation B. Limiting physical activity C. High-sodium diet D. Avoiding vaccinations

Correct Answer is A

Explanation

A) Correct. Smoking cessation is an important lifestyle modification to reduce the risk of recurrent pulmonary embolism. Smoking is a risk factor for blood clot formation.

B) Incorrect. Limiting physical activity is not recommended, as moderate physical activity can be beneficial. However, strenuous activity may need to be adjusted depending on the individual's condition and treatment.

C) Incorrect. A high-sodium diet is not recommended, as excessive sodium intake can contribute to hypertension, which is a risk factor for blood clots.

D) Incorrect. Avoiding vaccinations is not relevant to the prevention of pulmonary embolism. Vaccinations are essential for preventing certain infections.

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A nurse is assessing a client suspected of having a pulmonary embolism. Which symptom reported by the client is most indicative of this condition?

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Naxlex Comprehensive Predictor Exams

A client with a history of recurrent pulmonary embolism is prescribed long-term anticoagulant therapy. What medication is commonly used for long-term anticoagulation in this situation?

Correct Answer is B

Explanation

A nurse is educating a client with a history of pulmonary embolism on lifestyle modifications to reduce the risk of recurrence. Which of the following recommendations is appropriate?

Correct Answer is A

Explanation

A nurse is caring for a client with suspected pulmonary embolism who is undergoing diagnostic testing. What diagnostic test is often used as an initial screening tool for pulmonary embolism?

A client diagnosed with pulmonary embolism is receiving oxygen therapy. What is the primary goal of oxygen therapy in this situation?

A nurse is educating a client with pulmonary embolism about the importance of early recognition of symptoms. Which symptom should the client be advised to report immediately?

A client suspected of having a pulmonary embolism complains of sudden chest pain and difficulty breathing. The nurse auscultates the client's chest and notes crackling sounds during inspiration. Which term describes these crackling sounds?

A client with a history of smoking asks the nurse about the relationship between smoking and the risk of pulmonary embolism. How should the nurse explain this relationship?

A nurse is discussing the risk factors for pulmonary embolism with a client. The client asks if age plays a role in this condition. How should the nurse respond?

A client with a history of pulmonary embolism asks the nurse about ways to prevent future episodes. What should the nurse include in the response?

A nurse is caring for a client with suspected pulmonary embolism. The client's oxygen saturation drops significantly, and the nurse observes cyanosis of the lips and nail beds. Which term best describes this clinical finding?