What should a person do to prevent a pulmonary embolus from occurring?
Wear compression stockings
Take medication to promote clotting
Rest in bed frequently during the day
Reduce intake of water
The Correct Answer is A
Choice A reason: Compression stockings promote venous return, preventing blood stasis in the legs, a major risk factor for deep vein thrombosis (DVT), which can lead to pulmonary embolism. By improving circulation, they reduce clot formation, making this the correct preventive action.
Choice B reason: Medications promoting clotting increase the risk of pulmonary embolism by enhancing thrombus formation. Anticoagulants, not pro-coagulants, are used to prevent clots, making this choice incorrect as it would worsen the risk.
Choice C reason: Frequent bed rest increases the risk of pulmonary embolism by causing venous stasis, promoting clot formation in deep veins. Mobility reduces stasis and clot risk, making this choice incorrect for preventing pulmonary embolism.
Choice D reason: Reducing water intake leads to dehydration, increasing blood viscosity and clot risk, which can cause pulmonary embolism. Adequate hydration maintains blood fluidity, reducing thrombosis risk, making this choice incorrect for prevention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"B"}}
Explanation
A. Hernia causes mechanical bowel obstruction by physically trapping or compressing the intestine, preventing content passage. This aligns with the patient’s hernia, creating a structural blockage consistent with clinical findings.
B. Hypokalemia leads to functional bowel obstruction by disrupting intestinal motility through electrolyte imbalances, impairing muscle contractions without physical blockage. This matches the patient’s hypokalemia, exacerbating adynamic ileus.
C. Anesthesia from surgery causes functional bowel obstruction by slowing intestinal peristalsis, often resulting in postoperative ileus. This aligns with the patient’s recent anesthesia exposure, disrupting coordinated muscle contractions.
D. Intestinal tumor results in mechanical bowel obstruction by physically blocking or compressing the intestinal lumen, impeding content flow. The patient’s tumor aligns with this mechanism, a common cause of mechanical obstruction.
E. Pancreatitis contributes to functional bowel obstruction by causing inflammation or retroperitoneal irritation, leading to adynamic ileus without physical blockage. This matches the patient’s pancreatitis, disrupting intestinal motility.
F. Adhesions cause mechanical bowel obstruction by forming fibrous bands that kink or compress the intestine, blocking content passage. The patient’s adhesion history aligns with this, a leading cause of small bowel obstruction
Correct Answer is C
Explanation
Choice A reason: Visceral pain arises from internal organs due to stretching or inflammation, not from musculoskeletal injuries like an ankle sprain. An ankle sprain causes localized tissue damage, producing sharp, immediate pain, not the dull, diffuse pain typical of visceral sources, making this incorrect.
Choice B reason: Chronic pain persists beyond three months, often from ongoing conditions like arthritis. An ankle sprain causes immediate, short-term pain due to acute tissue injury, not prolonged pain, making chronic pain incorrect for the immediate aftermath of a sprain.
Choice C reason: Acute pain occurs immediately after injury, like an ankle sprain, due to tissue damage, inflammation, and activation of nociceptors. It is sharp and localized, resolving with healing, matching the description of pain right after a sprain, making this the correct choice.
Choice D reason: Referred pain is felt in a different area from the injury source, such as shoulder pain from a heart attack. An ankle sprain causes localized pain at the injury site, not referred pain, making this choice incorrect for the described scenario.
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