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?
Jaundice
Pallor
Erythema
Cyanosis
The Correct Answer is D
A) Incorrect. Jaundice is a yellowing of the skin and sclera due to elevated bilirubin levels, which is not described in the client's symptoms.
B) Incorrect. Pallor refers to paleness of the skin, which is not consistent with the client's cyanosis.
C) Incorrect. Erythema refers to redness of the skin due to increased blood flow, which is not the best description of the client's symptoms.
D) Correct. Cyanosis is the bluish discoloration of the skin, lips, and nail beds due to decreased oxygen saturation in the blood, which is indicative of a severe oxygen deficit often seen in pulmonary embolism.
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Related Questions
Correct Answer is B
Explanation
A) Incorrect. Pregnancy can increase the risk of pulmonary embolism, especially during specific periods.
B) Correct. Pregnancy is a known risk factor for pulmonary embolism due to hormonal changes, increased clotting factors, and reduced mobility during pregnancy.
C) Incorrect. While the risk may be higher during the postpartum period, it can also occur during pregnancy.
D) Incorrect. While genetics can play a role, other factors associated with pregnancy contribute to the risk of pulmonary embolism.
Correct Answer is D
Explanation
A) Incorrect. Hemoptysis refers to coughing up blood, which is not described in the client's symptoms.
B) Incorrect. Orthopnea is the inability to breathe comfortably when lying flat and is not the best description of the client's symptoms.
C) Incorrect. Syncope refers to fainting or loss of consciousness, which is not the primary symptom described.
D) Correct. Dyspnea, or difficulty breathing, along with lightheadedness and rapid heart rate, is a common presentation of pulmonary embolism.
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