A nurse is assessing a client who is postoperative and has a history of pulmonary embolism. Which of the following findings is the priority for the nurse to report to the provider?

Hypotension

Tachycardia

Dyspnea

Dry cough

Answer and Explanation

The Correct Answer is C

A. Hypotension is a concern but may occur for various reasons and is not as immediately life-threatening as dyspnea.

B. Tachycardia can indicate a problem but is less urgent than respiratory distress.

C. Dyspnea is the priority as it may indicate a recurrence of pulmonary embolism or another life-threatening respiratory issue.

D. A dry cough is a less urgent symptom and does not require immediate reporting.

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Correct Answer is C

Explanation

A. Return in two weeks for a follow-up MRI: MRI is generally contraindicated for clients with ICDs unless the device is MRI-compatible.

B. Expect to have a rapid pulse rate for the first few weeks: ICDs do not cause a sustained rapid pulse rate.

C. Wear loose-fitting clothing: Loose clothing prevents irritation and promotes healing of the surgical site, reducing the risk of infection.

D. Resume tub baths and swimming after 24 hr: Clients should avoid soaking the surgical site until fully healed.

A. A 25-gauge needle B. An angiocatheter C. A butterfly needle D. A noncoring needle

Correct Answer is D

Explanation

A. A 25-gauge needle is too small and inappropriate for accessing a port.

B. An angiocatheter is used for peripheral IV access, not for implanted ports.

C. A butterfly needle is used for venipuncture, not for accessing ports.

D. A noncoring needle (e.g., Huber needle) is specifically designed to access an implanted venous port without causing damage to the septum, preserving the integrity of the port.

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A nurse is assessing a client who is postoperative and has a history of pulmonary embolism. Which of the following findings is the priority for the nurse to report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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