A client presents to the emergency department with suspected pulmonary embolism. What blood test can help assess the likelihood of pulmonary embolism and its severity?
Complete blood count (CBC)
Arterial blood gas (ABG) analysis
D-dimer assay
Creatine kinase (CK) levels
The Correct Answer is C
A) Incorrect. A complete blood count (CBC) provides information about the composition of blood cells but is not specific to pulmonary embolism.
B) Incorrect. Arterial blood gas (ABG) analysis helps assess oxygen and carbon dioxide levels but is not a primary test for diagnosing pulmonary embolism.
C) Correct. The D-dimer assay measures a substance released when a blood clot breaks up. Elevated D-dimer levels can suggest the presence of a blood clot, but it is not specific to pulmonary embolism.
D) Incorrect. Creatine kinase (CK) levels are used to assess muscle damage and are not a primary test for diagnosing pulmonary embolism.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Incorrect. Pulmonary angiography involves the injection of contrast dye into the pulmonary arteries, not the insertion of a scope into the lungs.
B) Correct. Remaining still during the procedure is crucial to obtain clear images, and the client should be educated about the importance of cooperation.
C) Incorrect. Allergies to contrast dye can be a concern, and the client should inform the healthcare team of any allergies to prevent potential adverse reactions.
D) Incorrect. Mild discomfort and chest pain are not common during pulmonary angiography and should not be expected. The procedure is typically done under local anesthesia, and any discomfort should be reported to the healthcare team.
Correct Answer is D
Explanation
A) Incorrect. Jaundice is a yellowing of the skin and sclera due to elevated bilirubin levels, which is not described in the client's symptoms.
B) Incorrect. Pallor refers to paleness of the skin, which is not consistent with the client's cyanosis.
C) Incorrect. Erythema refers to redness of the skin due to increased blood flow, which is not the best description of the client's symptoms.
D) Correct. Cyanosis is the bluish discoloration of the skin, lips, and nail beds due to decreased oxygen saturation in the blood, which is indicative of a severe oxygen deficit often seen in pulmonary embolism.
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