A nurse is providing teaching to a client about manifestations of pulmonary embolism (PE). Which of the following findings should the nurse include in the teaching? (Select All that Apply.)
Chest pain that worsens with deep breathing
Shortness of breath
Facial weakness that worsens at night
Bloody sputum
Difficulty speaking
Correct Answer : A
A. Chest pain that worsens with deep breathing, also known as pleuritic pain, is a hallmark symptom of pulmonary embolism. It occurs due to inflammation of the pleura caused by the obstruction in the pulmonary vasculature.
B. Shortness of breath is one of the most common and early signs of a pulmonary embolism. It occurs due to reduced oxygenation resulting from blocked blood flow in the lungs.
C. Facial weakness that worsens at night is not a manifestation of pulmonary embolism. This symptom is more commonly associated with neurological conditions such as myasthenia gravis.
D. Bloody sputum, or hemoptysis, is a possible symptom of pulmonary embolism. It results from pulmonary infarction, which occurs when lung tissue is damaged due to reduced blood flow.
E. Difficulty speaking is not typically associated with pulmonary embolism. This symptom may be more indicative of neurological events such as stroke.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. An oblique fracture occurs at an angle across the bone and is not characterized by the bone being splintered into several pieces.
B. An impacted fracture occurs when one bone fragment is driven into another, which is not the case here, as the bone is splintered into several pieces.
C. A transverse fracture occurs when the bone breaks in a straight line across the shaft. This does not match the description of the bone being splintered into multiple pieces.
D. A comminuted fracture is when the bone is broken into multiple fragments, which aligns with the description of the client’s fracture. This type of fracture is often caused by high-impact trauma and requires careful management to ensure proper healing.
Correct Answer is D
Explanation
A. This description refers to a comminuted fracture, where the bone is broken into multiple fragments. It is not characteristic of a greenstick fracture.
B. This description refers to a compound or open fracture, where the bone breaks through the skin. A greenstick fracture typically does not involve the bone piercing the skin.
C. This description refers to a compression or impacted fracture, where the bone ends are driven into each other. This is not the nature of a greenstick fracture.
D. A greenstick fracture occurs when the bone breaks on one side but bends on the other, similar to how a green twig might break. This is common in children due to the flexibility of their bones.
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