The nurse is providing education to a client on ways to prevent the development of a pulmonary embolism. Which of the following statements would require further teaching?
"Crossing my legs will decrease my risk for a pulmonary embolism."
“I will ask my doctor for a prescription for Chantix to help me stop smoking."
“I will drink at least 8 glasses of water each day."
"I will ask my sister to go for walks with me to aid in weight loss."
The Correct Answer is A
A. Crossing the legs can actually increase the risk of venous stasis and clot formation, which can lead to a pulmonary embolism. The client needs further teaching to avoid this habit.
B. Smoking increases the risk of blood clot formation, so quitting smoking is an appropriate preventive measure.
C. Staying hydrated helps maintain good blood flow and reduces the risk of clot formation.
D. Regular exercise and weight management help prevent venous stasis and clot formation, lowering the risk of pulmonary embolism.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is D
Explanation
A. Taking 4 nitroglycerin tablets is incorrect. The maximum dose is 3 tablets, taken 5 minutes apart. If chest pain persists after the third dose, the client should seek emergency help.
B. Calling 911 after only one dose is incorrect. The correct protocol is to take up to three doses before seeking emergency assistance unless symptoms worsen rapidly.
C. Calling 911 immediately before taking nitroglycerin is incorrect. The client should attempt to relieve the chest pain with nitroglycerin before calling for emergency help.
D. Calling 911 if pain persists after taking 3 nitroglycerin tablets 5 minutes apart is correct. Persistent chest pain despite nitroglycerin use suggests a possible myocardial infarction (MI), requiring immediate medical intervention.
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