The nurse is educating a client about the treatment options for a pulmonary embolism. Which of the following statements would require further teaching?

“I will be discharged on Warfarin so that a clot will not develop in the future."

"A Heparin infusion is going to keep the blood clot from getting bigger."

"The purpose of the Inferior Vena Cava (IVC) Filter is to prevent the development of DVTs."

"An embolectomy is a procedure to physically remove a blood clot."

Answer and Explanation

The Correct Answer is C

A. Warfarin is commonly prescribed for long-term anticoagulation to prevent future clot formation. This statement is correct and does not require further teaching.
B. A Heparin infusion does not dissolve existing clots but prevents them from enlarging and new clots from forming, making this statement accurate.
C. The purpose of the Inferior Vena Cava (IVC) filter is to trap emboli from deep vein thrombosis (DVT) before they reach the lungs, not to prevent DVT formation. This statement is incorrect and requires further teaching.
D. An embolectomy is a surgical procedure to remove a pulmonary embolism, making this statement correct.

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Correct Answer is A

Explanation

A. Delivering a continuous flow of air pressure to keep the airway open is correct. CPAP (Continuous Positive Airway Pressure) prevents airway collapse during sleep, allowing for uninterrupted breathing and oxygenation.
B. Reducing daytime sleepiness is a benefit of CPAP use, but it is not its primary purpose—it is a secondary effect of improved oxygenation and sleep continuity.
C. Improving sleep quality also occurs with CPAP therapy, but this is an outcome rather than the primary purpose.
D. Promoting weight loss is not the function of CPAP therapy, though weight loss can help reduce OSA severity.

Correct Answer is ["120"]

Explanation

 Convert pounds to kilograms:

176 pounds / 2.2 pounds/kg = 80 kg

 Calculate the enoxaparin dose:

80 kg 1.5 mg/kg = 120 mg

 Round to the nearest whole number:

120 mg

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The nurse is educating a client about the treatment options for a pulmonary embolism. Which of the following statements would require further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the primary purpose of using a CPAP machine for the treatment of obstructive sleep apnea (OSA)?

Correct Answer is A

Explanation

A nurse is caring for a client who has a pulmonary embolism and has a new order for enoxaparin 1.5 mg/kg/dose to be administered subcutaneously every 12 hours. The client weighs 176 pounds. How many mg should the nurse administer per dose? (Round to the nearest whole number)

Correct Answer is ["120"]

Explanation

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