A nurse is educating a client diagnosed with pulmonary embolism about the treatment options. Which of the following interventions is a common initial treatment approach for pulmonary embolism?

Administration of intravenous antibiotics

Initiation of anticoagulant therapy

Emergency surgical removal of the embolism

Placement of a chest tube for drainage

Answer and Explanation

The Correct Answer is B

A) Incorrect. Intravenous antibiotics are not typically used as the initial treatment for pulmonary embolism. Antibiotics are used to treat bacterial infections, not blood clots.

B) Correct. Anticoagulant therapy, such as heparin or low-molecular-weight heparin, is often the initial treatment for pulmonary embolism to prevent further clot formation and reduce the risk of complications.

C) Incorrect. Emergency surgical removal of the embolism is considered in severe cases but is not the common initial treatment approach.

D) Incorrect. Placement of a chest tube for drainage is not a standard treatment for pulmonary embolism; it is used for conditions involving pleural effusion or pneumothorax.

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Correct Answer is C

Explanation

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.

A. "Surgery does not increase the risk of pulmonary embolism, so you don't need to worry about it." B. "Risk factors for pulmonary embolism after surgery include prolonged immobility, use of birth control pills, and obesity." C. "Smoking and high caffeine intake are the main risk factors for post-surgery pulmonary embolism." D. "The risk of pulmonary embolism is higher if you have a family history of lung diseases."

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.

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A nurse is educating a client diagnosed with pulmonary embolism about the treatment options. Which of the following interventions is a common initial treatment approach for pulmonary embolism?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

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 is undergoing an echocardiogram as part of the diagnostic workup for suspected pulmonary embolism. What information can an echocardiogram provide in this context?

A client diagnosed with pulmonary embolism is receiving oxygen therapy. What is the primary goal of oxygen therapy in this situation?

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 about the signs and symptoms of a pulmonary embolism. Which symptom should the nurse emphasize as a common and concerning presentation of pulmonary embolism?

A client asks a nurse about the process that leads to a pulmonary embolism. How should the nurse explain the pathophysiology of pulmonary embolism?

A client with pulmonary embolism is experiencing severe shortness of breath. Which nursing intervention takes priority in this situation?

A nurse is explaining the risk factors for developing deep vein thrombosis (DVT) to a client. The client asks about the connection between DVT and pulmonary embolism. What should the nurse tell the client?

A client with a history of pulmonary embolism reports experiencing sudden shortness of breath, lightheadedness, and rapid heart rate. Which term best describes this clinical presentation?