A client is undergoing an echocardiogram as part of the diagnostic workup for suspected pulmonary embolism. What information can an echocardiogram provide in this context?
Visualization of blood clots in the pulmonary arteries
Assessment of heart valve function and heart structure
Measurement of arterial blood gases
Evaluation of lung function and ventilation
The Correct Answer is B
A) Incorrect. An echocardiogram does not visualize blood clots in the pulmonary arteries; it focuses on assessing heart function and structure.
B) Correct. An echocardiogram provides valuable information about heart valve function and heart structure, helping assess the impact of a pulmonary embolism on the heart.
C) Incorrect. Measurement of arterial blood gases (ABGs) is typically performed through blood sampling, not with an echocardiogram.
D) Incorrect. Echocardiograms do not evaluate lung function and ventilation; they primarily assess cardiac function.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct. Chest pain that worsens with deep breaths (pleuritic chest pain) is a common and concerning symptom of pulmonary embolism.
B) Incorrect. Persistent cough with yellow-green mucus production is not a typical symptom of pulmonary embolism.
C) Incorrect. Lightheadedness and dizziness can be associated with pulmonary embolism but are less specific symptoms.
D) Incorrect. Swelling and redness in the lower legs are more indicative of deep vein thrombosis (DVT), which can sometimes lead to pulmonary embolism but are not direct symptoms of pulmonary embolism.
Correct Answer is C
Explanation
A) Incorrect. While pain management is important, providing supplemental oxygen to address severe shortness of breath takes priority.
B) Incorrect. Initiating anticoagulant therapy is essential but may take some time to have an effect. Oxygen therapy should be provided immediately to address the client's oxygenation.
C) Correct. Providing supplemental oxygen is the priority intervention for a client with severe
shortness of breath to ensure adequate oxygenation.
D) Incorrect. Encouraging ambulation is not appropriate in a client with severe shortness of breath. Stabilizing the client's oxygenation and condition is the immediate concern.
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