A nurse is caring for a client with suspected pulmonary embolism who is undergoing diagnostic testing. What diagnostic test is often used as an initial screening tool for pulmonary embolism?
Computed tomography angiography (CTA)
Magnetic resonance imaging (MRI)
Chest X-ray
Electrocardiogram (ECG)
The Correct Answer is A
A) Correct. Computed tomography angiography (CTA) is often used as an initial screening tool for pulmonary embolism, as it provides detailed images of the pulmonary arteries.
B) Incorrect. Magnetic resonance imaging (MRI) may be used in some cases but is less commonly employed as an initial screening tool for pulmonary embolism.
C) Incorrect. Chest X-ray is typically not sensitive enough to diagnose pulmonary embolism directly but may show other related findings, such as an enlarged heart or lung abnormalities.
D) Incorrect. Electrocardiogram (ECG) may help identify signs of right heart strain or dysfunction caused by a pulmonary embolism but is not a primary diagnostic tool for detecting emboli in the pulmonary arteries.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct. Smoking cessation is an important lifestyle modification to reduce the risk of recurrent pulmonary embolism. Smoking is a risk factor for blood clot formation.
B) Incorrect. Limiting physical activity is not recommended, as moderate physical activity can be beneficial. However, strenuous activity may need to be adjusted depending on the individual's condition and treatment.
C) Incorrect. A high-sodium diet is not recommended, as excessive sodium intake can contribute to hypertension, which is a risk factor for blood clots.
D) Incorrect. Avoiding vaccinations is not relevant to the prevention of pulmonary embolism. Vaccinations are essential for preventing certain infections.
Correct Answer is D
Explanation
A) Incorrect. Chest X-rays can show certain abnormalities but are not the primary diagnostic tool for pulmonary embolism.
B) Incorrect. Electrocardiograms (ECGs) are used to assess heart rhythm and electrical activity but are not used to diagnose pulmonary embolism.
C) Incorrect. Magnetic resonance imaging (MRI) may be used in some cases, but CTPA is the preferred test for diagnosing pulmonary embolism.
D) Correct. Computed tomography pulmonary angiography (CTPA) is the gold standard for diagnosing pulmonary embolism as it can visualize blood clots in the pulmonary arteries.
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