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 C
Explanation
A) Incorrect. Fatigue and weakness can be nonspecific symptoms and are not specific to pulmonary embolism.
B) Incorrect. While cough and sore throat can be symptoms of respiratory conditions, they are not specific to pulmonary embolism.
C) Correct. Sharp, stabbing chest pain that worsens with deep breaths, known as pleuritic chest pain, is a classic symptom of pulmonary embolism.
D) Incorrect. Increased appetite and weight gain are not typically associated with pulmonary embolism and may suggest other conditions.
Correct Answer is C
Explanation
A) Incorrect. Pulmonary embolism does not directly affect the bronchial tubes or cause airway constriction.
B) Incorrect. While inflammation can occur as a response to pulmonary embolism, its primary impact is on blood flow, not the alveoli.
C) Correct. The main effect of pulmonary embolism is the disruption of blood flow to lung tissue, reducing oxygen supply.
D) Incorrect. Excessive mucus production is not a characteristic effect of pulmonary embolism.
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