A nurse is educating a client who presents with a pulmonary embolism. Which of the following information should the nurse provide?

Treatment is not needed if the client is hemodynamically stable.

Treatment is not needed if the client is asymptomatic.

Treatment is needed for all clients who have a pulmonary embolism.

Treatment is not needed if the pulmonary embolism is intermediate.

Answer and Explanation

The Correct Answer is C

A. Treatment is not needed if the client is hemodynamically stable. Even if a client is hemodynamically stable, a pulmonary embolism still poses a serious risk of progression or recurrence and requires anticoagulation or other appropriate interventions to prevent complications or death.
B. Treatment is not needed if the client is asymptomatic. An asymptomatic pulmonary embolism is still clinically significant. Without treatment, clots can enlarge or lead to future embolic events. Thus, treatment is still warranted regardless of symptom presence.
C. Treatment is needed for all clients who have a pulmonary embolism. All clients with a diagnosed pulmonary embolism should receive prompt treatment, such as anticoagulants or thrombolytics depending on severity, to prevent morbidity and mortality from clot progression or recurrence.
D. Treatment is not needed if the pulmonary embolism is intermediate. Intermediate-risk pulmonary embolisms require medical management and close monitoring. Treatment decisions may vary, but anticoagulation is still generally indicated to avoid complications like right ventricular failure.

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Correct Answer is A

Explanation

A. Fatigue: Fatigue is a hallmark symptom of iron deficiency anemia due to decreased oxygen delivery to tissues. With insufficient iron, the production of hemoglobin is impaired, leading to a reduced oxygen-carrying capacity of red blood cells, which results in fatigue and weakness.
B. Pain: While pain is not directly associated with iron deficiency anemia, individuals with severe anemia may experience discomfort or cramping due to poor oxygenation of tissues, but this is not a primary or expected symptom of the condition.
C. Confusion: Confusion can occur in severe cases of anemia due to insufficient oxygen supply to the brain, but it is not a common or early finding in iron deficiency anemia. It is more likely to appear if anemia becomes more severe or chronic.
D. Slurred speech: Slurred speech is not a typical symptom of iron deficiency anemia. If present, slurred speech could indicate other neurological issues or a more severe condition, such as a stroke or a neurological disorder.

A. The intracellular space contains most of the body's water. B. A negative fluid balance occurs when the body takes in more water than the body needs. C. When the body loses water, the intravascular space experiences the water loss. D. A fluid volume deficit inhibits baroreceptors

Correct Answer is A

Explanation

A. The intracellular space contains most of the body's water: The majority of the body's water is found within the cells (intracellular space), accounting for about two-thirds of total body water. This is the primary compartment where water is stored and is critical for cellular function and maintaining homeostasis.
B. A negative fluid balance occurs when the body takes in more water than the body needs: A negative fluid balance refers to a state in which the body loses more water than it takes in, resulting in dehydration or fluid volume deficit. When the body takes in more water than it needs, it results in a positive fluid balance, which could lead to fluid overload or hyperhydration.
C. When the body loses water, the intravascular space experiences the water loss: While the loss of water from the body can affect all compartments, including the extracellular space, the intravascular space (blood vessels) is particularly vulnerable to volume loss, such as in dehydration. However, the primary loss in water occurs from both intracellular and extracellular compartments, not exclusively the intravascular space.
D. A fluid volume deficit inhibits baroreceptors: Fluid volume deficit may affect baroreceptors, which detect changes in blood pressure, but it does not directly inhibit them. In fact, a decrease in fluid volume typically triggers baroreceptors to respond by stimulating mechanisms that attempt to restore fluid balance, such as increasing thirst or activating the renin-angiotensin-aldosterone system to conserve water.

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A nurse is educating a client who presents with a pulmonary embolism. Which of the following information should the nurse provide?

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Naxlex Comprehensive Predictor Exams

A nurse is obtaining a health history from a client who has iron deficiency anemia. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is teaching a graduating nurse about fluid volume deficit. Which of the following concepts about water balance should the nurse explain to the graduating nurse?

Correct Answer is A

Explanation

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