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 C

Explanation

A. Increased mucus production blocking the alveoli is incorrect. While mucus production can be an issue in COPD, it is more characteristic of chronic bronchitis rather than emphysema.
B. Infections decreasing ventilation is incorrect. Although infections can worsen emphysema symptoms, they are not the primary cause of chronic hypoxia in these clients.
C. Lack of adequate surface area for aeration is correct. Emphysema leads to alveolar destruction and loss of elasticity, reducing the surface area available for gas exchange, which causes chronic hypoxia.
D. Inflammation of the bronchioles decreasing breathing capacity is incorrect. While airway inflammation is seen in conditions like asthma and chronic bronchitis, emphysema is primarily characterized by alveolar damage rather than airway inflammation.

A. “It is all right to have a couple of beers because I have this CPAP machine." B. “The CPAP will help me stay awake during the day while I am at work." C. "If I lose weight I may not need treatment for sleep apnea." D. "The CPAP machine holds my airway open with pressure."

Correct Answer is A

Explanation

A. Alcohol relaxes throat muscles, worsening obstructive sleep apnea (OSA). The client should be educated to avoid alcohol, even while using a CPAP machine.
B. CPAP improves sleep quality and reduces daytime sleepiness, making this statement accurate.
C. Weight loss can reduce the severity of OSA, and some clients may no longer need treatment after significant weight loss.
D. The CPAP machine functions by delivering continuous air pressure to keep the airway open, which is a correct statement.

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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?

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Naxlex Comprehensive Predictor Exams

What is the underlying rationale for why a nurse assesses a client with emphysema for clinical indicators of hypoxia?

Correct Answer is C

Explanation

Which statement indicates to the nurse the client diagnosed with sleep apnea needs further teaching?

Correct Answer is A

Explanation

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