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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A) Incorrect. Pregnancy can increase the risk of pulmonary embolism, especially during specific periods.

B) Correct. Pregnancy is a known risk factor for pulmonary embolism due to hormonal changes, increased clotting factors, and reduced mobility during pregnancy.

C) Incorrect. While the risk may be higher during the postpartum period, it can also occur during pregnancy.

D) Incorrect. While genetics can play a role, other factors associated with pregnancy contribute to the risk of pulmonary embolism.

A. Administration of intravenous antibiotics B. Initiation of anticoagulant therapy C. Emergency surgical removal of the embolism D. Placement of a chest tube for drainage

Correct Answer is B

Explanation

A) Incorrect. Intravenous antibiotics are not typically used as the initial treatment for pulmonary embolism. Antibiotics are used to treat bacterial infections, not blood clots.

B) Correct. Anticoagulant therapy, such as heparin or low-molecular-weight heparin, is often the initial treatment for pulmonary embolism to prevent further clot formation and reduce the risk of complications.

C) Incorrect. Emergency surgical removal of the embolism is considered in severe cases but is not the common initial treatment approach.

D) Incorrect. Placement of a chest tube for drainage is not a standard treatment for pulmonary embolism; it is used for conditions involving pleural effusion or pneumothorax.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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