A nurse is caring for a client who has developed pulmonary embolism (PE). Which of the following diagnostic tests should the nurse anticipate the provider to prescribe to confirm the client's condition?(Select All that Apply.)

D-dimer blood test

Complete blood count (CBC)

CT scan

Chest x-ray

Lung ventilation and perfusion scan (VQ scan)

Answer and Explanation

Correct Answer : A,C,E

A. D-dimer blood test - A D-dimer test measures clot breakdown products in the blood. Elevated levels suggest the presence of an abnormal blood clot, such as in PE, although it is not specific.

B. Complete blood count (CBC) - A CBC is not typically used to diagnose PE. It may be ordered to check for other conditions or as part of the overall health assessment, but it doesn't confirm PE.

C. CT scan - A CT pulmonary angiography is the gold standard for diagnosing PE. It provides detailed images of the blood vessels in the lungs.

D. Chest x-ray - A chest x-ray is not diagnostic for PE. It is often performed to rule out other causes of the client’s symptoms (e.g., pneumonia, pneumothorax) but does not confirm the presence of a pulmonary embolism.

E. Lung ventilation and perfusion scan (VQ scan)
A VQ scan is another diagnostic tool for PE, especially in clients who cannot tolerate contrast dye required for CT scans. It assesses the ventilation and perfusion of the lungs and identifies mismatches suggestive of PE.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. The nurse wears a gown when bathing the client: This is appropriate to prevent contact with the lesions and reduce the risk of spreading the virus.

B. The nurse admits another client who has shingles to the client's double room. Shingles (herpes zoster) is highly contagious, especially for individuals who have never had chickenpox or been vaccinated against it. Cohorting clients with shingles in a shared room is not recommended due to the risk of viral transmission and potential complications.

C. The nurse wears gloves when providing direct care to the client: This is necessary to protect against direct contact with the lesions and prevent the spread of infection.

D. The nurse wears an N95 respirator mask: While not always required, wearing an N95 respirator can be appropriate in certain circumstances to prevent aerosolized transmission, especially in cases of disseminated shingles.

A. 1 cup canned black beans B. 8 a whole milk C. 1.5 oz raisins D. 8 or black tea

Correct Answer is A

Explanation

A. 1 cup canned black beans - Black beans are high in iron and an excellent dietary recommendation for someone with iron deficiency anemia.

B. 8 oz whole milk - While nutritious, milk is not a significant source of iron and can actually inhibit iron absorption due to its calcium content.

C. 1.5 oz raisins - Raisins do contain some iron, but the amount is relatively small compared to black beans. They are a good supplement but not the best primary source of iron.

D. 8 oz black tea - Tea contains tannins that can inhibit iron absorption, making it an unsuitable recommendation for someone needing to increase their iron levels.

View Question and Answer

A nurse is caring for a client in a medical-surgical unit.

Exhibits

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

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A nurse is caring for a client who has developed pulmonary embolism (PE). Which of the following diagnostic tests should the nurse anticipate the provider to prescribe to confirm the client's condition?(Select All that Apply.)

Nursing Test Bank

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Correct Answer is B

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Correct Answer is A

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