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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Metformin is correct. The combination of iodinated contrast dye and metformin increases the risk of contrast-induced nephropathy (CIN) and lactic acidosis, especially in clients with pre-existing kidney dysfunction. Metformin should be held before and after the procedure until renal function is reassessed.
B. Nitroglycerin is used for angina and does not interact with contrast dye.
C. Atorvastatin (a statin) is used for cholesterol management and has no significant interaction with contrast dye.
D. Carvedilol (a beta-blocker) is used for heart failure and hypertension but does not increase the risk of contrast-induced kidney injury.
Correct Answer is C
Explanation
A. Drawing a basic metabolic panel (BMP) is important for monitoring electrolyte imbalances, especially potassium in clients on diuretics, but it is not the priority intervention.
B. Obtaining a health history is necessary, but assessing the client’s current status takes priority in an acute setting.
C. Auscultating the lung and heart sounds is correct. In heart failure, pulmonary congestion and fluid overload can quickly lead to respiratory distress. The nurse should immediately assess for crackles, wheezing, or signs of pulmonary edema, as well as abnormal heart sounds that may indicate worsening heart failure.
D. Assessing pulse and temperature is routine, but assessing lung and heart sounds directly evaluates for acute decompensation and should be prioritized.
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