A nurse is caring for a client newly diagnosed with a pulmonary embolism (PE). Which of the following is the initial assessment finding in the client diagnosed with PE?
Dyspnea and anxiety.
Altered level of consciousness.
Wheezing in lung bases.
Increased pulse and respiratory rate.
The Correct Answer is A
Choice A rationale
The initial assessment finding in a client diagnosed with a pulmonary embolism (PE) is typically dyspnea and anxiety. This is because a PE can block blood flow in the lungs, leading to difficulty breathing (dyspnea). The sudden onset of this symptom can cause significant anxiety in the patient.
Choice B rationale
An altered level of consciousness is not typically an initial finding in PE. While severe cases can lead to decreased oxygen levels in the blood, causing confusion or loss of consciousness, these are not usually initial symptoms.
Choice C rationale
Wheezing in lung bases is not a typical initial finding in PE. Wheezing is more commonly associated with conditions that cause narrowing of the airways, such as asthma or COPD12.
Choice D rationale
While an increased pulse and respiratory rate can occur in PE due to the body’s attempt to compensate for decreased oxygen in the blood, they are not the most specific initial findings. Dyspnea and anxiety are more characteristic initial symptoms of PE12.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
Choice A rationale
Using chewing tobacco every day is a significant risk factor for laryngeal cancer. Tobacco contains many carcinogens, which can damage the cells in the larynx and lead to cancer.
Choice B rationale
Being an industrial-commercial painter is associated with an increased risk of laryngeal cancer. This is likely due to exposure to certain chemicals and toxins that are used in paints and other materials.
Choice C rationale
Being an ultrasound technician is not typically associated with an increased risk of laryngeal cancer. Ultrasound technicians are not generally exposed to the types of toxins or risk factors that are associated with laryngeal cancer.
Choice D rationale
Wearing magnetic healing bracelets is not associated with an increased risk of laryngeal cancer. There is no scientific evidence to suggest that these bracelets have any effect on cancer risk.
Choice E rationale
Having a spouse who smokes cigarettes is a risk factor for laryngeal cancer. Secondhand smoke, also known as passive smoke, contains many of the same carcinogens as the smoke inhaled by smokers. Exposure to secondhand smoke can increase a person’s risk of developing laryngeal cancer.
Correct Answer is B
Explanation
Choice A rationale
While immunosuppressive drug therapy can facilitate organ rejection, it is not directly related to the development of chronic rhinosinusitis in patients who have undergone organ transplants.
Choice B rationale
Immunosuppressive drug therapy can indeed contribute to chronic rhinosinusitis. Patients who have undergone organ transplants are often on long-term immunosuppressive therapy to prevent organ rejection. This can make them more susceptible to infections, including chronic rhinosinusitis.
Choice C rationale
Chronic rhinosinusitis does not typically damage the transplanted organ. It primarily affects the sinuses and nasal passages.
Choice D rationale
All of the above is not the correct answer because Choices A and C are not accurate in the context of chronic rhinosinusitis in patients who have undergone organ transplants.
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