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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Related Questions
Correct Answer is D
Explanation
A. Storing oxygen tanks near sources of heat is dangerous. Oxygen should be stored in a cool, dry place away from heat sources and flammable materials to prevent the risk of fire or explosion.
B. Oxygen therapy should not be limited to periods of activity or exertion. For patients with COPD, continuous oxygen therapy is often necessary to maintain adequate oxygen saturation levels, even during sleep.
C. Adjusting the oxygen flow rate to the highest level can be harmful, especially in patients with COPD, as it may suppress their hypoxic drive to breathe. The flow rate should be prescribed and adjusted by the healthcare provider.
D. Continuous use of oxygen therapy, even during sleep, is essential for maintaining adequate oxygen saturation levels in patients with COPD. This helps prevent hypoxemia and ensures the patient receives the necessary oxygen support.
Correct Answer is ["A"]
Explanation
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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