A nurse is caring for a client with a pulmonary embolism who is receiving tissue plasminogen activator (tP therapy. What is the primary purpose of tPA in this situation?

To reduce pain and discomfort associated with pulmonary embolism

To improve lung function and oxygenation

To dissolve existing blood clots in the pulmonary arteries

To prevent the formation of new blood clots

Answer and Explanation

The Correct Answer is C

A) Incorrect. tPA therapy is not primarily used for pain relief but rather for clot dissolution.

B) Incorrect. While improving lung function and oxygenation is a goal in treating pulmonary embolism, tPA's primary purpose is to dissolve existing blood clots.

C) Correct. tPA (tissue plasminogen activator) is a thrombolytic agent used to break down and dissolve existing blood clots in the pulmonary arteries, improving blood flow.

D) Incorrect. tPA is not used to prevent the formation of new blood clots but rather to treat existing clots.

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Correct Answer is B

Explanation

A) Incorrect. Surgery does increase the risk of pulmonary embolism, especially when accompanied by immobility.

B) Correct. Prolonged immobility, birth control pills, and obesity are known risk factors for post-surgery pulmonary embolism.

C) Incorrect. While smoking and caffeine intake can impact lung health, they are not the primary risk factors for post-surgery pulmonary embolism.

D) Incorrect. While a family history of clotting disorders can contribute to the risk, it is not a common risk factor discussed in the context of post-surgery pulmonary embolism.

A. "Surgery does not increase the risk of pulmonary embolism." B. "The risk of pulmonary embolism is only associated with minor surgeries." C. "Pulmonary embolism risk is higher after major surgeries and procedures." D. "Surgery has no impact on pulmonary embolism risk; it's entirely genetic."

Correct Answer is C

Explanation

A) Incorrect. Surgery, especially major procedures, can increase the risk of pulmonary embolism.

B) Incorrect. The risk of pulmonary embolism is often higher after major surgeries, not limited to minor procedures.

C) Correct. Major surgeries and procedures carry a higher risk of pulmonary embolism due to factors like immobility and surgical trauma.

D) Incorrect. While genetics can play a role in clotting disorders, surgery remains a significant risk factor for pulmonary embolism.

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A nurse is caring for a client with a pulmonary embolism who is receiving tissue plasminogen activator (tP therapy. What is the primary purpose of tPA in this situation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client recently had surgery and is concerned about the risk of developing a pulmonary embolism. What risk factors should the nurse discuss with the client?

Correct Answer is B

Explanation

A client inquires about the role of surgery in the development of pulmonary embolism. What should the nurse explain regarding this risk factor?

Correct Answer is C

Explanation

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 educating a client on how a pulmonary embolism can impact lung function. What should the nurse emphasize regarding the physiological effects?

A nurse is teaching a client about the risk factors for pulmonary embolism. The client asks about the connection between pregnancy and pulmonary embolism risk. How should the nurse respond?

A nurse is providing education to a client who has been diagnosed with a pulmonary embolism. The client asks, "What exactly is a pulmonary embolism?" How should the nurse respond?

A nurse is teaching a client about the risk factors for pulmonary embolism. Which statement made by the client indicates a correct understanding of the risk factors?

A client recovering from major surgery asks a nurse about the risk of developing a pulmonary embolism postoperatively. What should the nurse include in the explanation of post-surgery risk factors?

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 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?