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. Pleural effusion is a common complication of heart failure. Increased pressure in the pulmonary circulation can cause fluid to accumulate in the pleural space, leading to dyspnea and decreased lung expansion.
B. Infection is not a direct complication of heart failure. However, individuals with heart failure may have an increased risk of infections due to a weakened immune system.
C. Asthma is not a complication of heart failure. While both conditions can cause shortness of breath, asthma is a separate respiratory disorder.
D. Hemorrhage is not associated with heart failure. Instead, heart failure can lead to clotting abnormalities or increased bleeding risk if the client is on anticoagulants.
Correct Answer is B
Explanation
A. Stress testing evaluates cardiac function and ischemia but is not used to diagnose a pulmonary embolism (PE).
B. D-Dimer is correct. D-Dimer is a blood test that detects fibrin degradation products, which are elevated when a blood clot forms and breaks down, making it a useful screening test for pulmonary embolism. However, a positive D-Dimer is not diagnostic, and further imaging (e.g., CT pulmonary angiography) is required.
C. Electrocardiogram (ECG) may show changes (e.g., sinus tachycardia, right heart strain) but does not confirm PE.
D. Pulmonary function testing assesses lung diseases like COPD or asthma but is not used to diagnose PE.
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