The nurse is providing care to a client with a suspected pulmonary embolism. Which of the following is not a manifestation of a pulmonary embolism?

Hemoptysis

Petechiae

Tachycardia

Facial weakness

Answer and Explanation

The Correct Answer is D

A. Hemoptysis (coughing up blood) is a known symptom of a pulmonary embolism (PE). It results from lung tissue damage due to obstructed blood flow.
B. Petechiae are not typically associated with a PE. They are more commonly linked to conditions such as thrombocytopenia or fat embolism syndrome.
C. Tachycardia is a common manifestation of a PE. The heart rate increases as a compensatory mechanism due to decreased oxygenation.
D. Facial weakness is not a typical sign of PE. It is more commonly associated with conditions like stroke or Bell's palsy.

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Correct Answer is C

Explanation

A. Morphine may be given to relieve pain and anxiety but is not the first priority. Oxygenation must be addressed first.
B. Initiating cardiac monitoring is important but does not take priority over oxygen therapy. Hypoxia from a PE can cause life-threatening complications.
C. Administering oxygen therapy is correct. A PE impairs oxygenation, leading to hypoxia. Immediate oxygen administration helps improve oxygen delivery to vital organs.
D. Starting an IV infusion is necessary to maintain hemodynamic stability but is not the priority over oxygenation.

A. Metformin B. Nitroglycerin C. Atorvastatin D. Carvedilol

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.

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The nurse is providing care to a client with a suspected pulmonary embolism. Which of the following is not a manifestation of a pulmonary embolism?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who develops a pulmonary embolism. Which of the following interventions should the nurse implement first?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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