A nurse is teaching a client about the risk factors for pulmonary embolism. Which statement made by the client indicates a correct understanding of the risk factors?
"Sitting for extended periods while traveling doesn't increase my risk of pulmonary embolism."
"Being on long-term anticoagulant therapy raises my risk of developing pulmonary embolism."
"Having a sedentary lifestyle and being immobile for extended periods can increase my risk."
"Pulmonary embolism is not associated with recent surgery or trauma."
The Correct Answer is C
A) Incorrect. Prolonged sitting during travel, especially on long flights, can increase the risk of pulmonary embolism due to immobility.
B) Incorrect. Long-term anticoagulant therapy is often prescribed to reduce the risk of pulmonary embolism, not increase it.
C) Correct. Prolonged immobility, such as sitting for long hours or bed rest, is a significant risk factor for pulmonary embolism.
D) Incorrect. Recent surgery, trauma, or hospitalization can increase the risk of developing pulmonary embolism due to factors such as immobility and altered blood clotting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Incorrect. Visualizing the heart's electrical activity is typically done with an electrocardiogram (ECG), not a V/Q scan.
B) Correct. A ventilation-perfusion (V/Q) scan is used to assess lung function and oxygenation and to detect areas of the lung where blood flow and air ventilation do not match, which can indicate a pulmonary embolism.
C) Incorrect. Measuring blood clotting time is typically done using coagulation tests such as prothrombin time (PT) or activated partial thromboplastin time (aPTT).
D) Incorrect. Evaluating kidney function is not the primary purpose of a V/Q scan.
Correct Answer is A
Explanation
A) Correct. Chest pain that worsens with deep breaths (pleuritic chest pain) is a common and concerning symptom of pulmonary embolism.
B) Incorrect. Persistent cough with yellow-green mucus production is not a typical symptom of pulmonary embolism.
C) Incorrect. Lightheadedness and dizziness can be associated with pulmonary embolism but are less specific symptoms.
D) Incorrect. Swelling and redness in the lower legs are more indicative of deep vein thrombosis (DVT), which can sometimes lead to pulmonary embolism but are not direct symptoms of pulmonary embolism.
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