A client recovering from major surgery asks a nurse about the risk of developing a pulmonary embolism postoperatively. What should the nurse include in the explanation of post-surgery risk factors?
"Post-surgery pulmonary embolism is primarily associated with surgical incisions and scars."
"The risk of pulmonary embolism is low after surgery and is not related to any specific factors."
"Prolonged immobility, surgical trauma, and changes in blood clotting are common risk factors."
"The risk of post-surgery pulmonary embolism is mainly due to excessive fluid intake during recovery."
The Correct Answer is C
A) Incorrect. While surgical trauma can be a risk factor, it is not solely associated with incisions and scars.
B) Incorrect. The risk of pulmonary embolism after surgery is not low, and specific factors do contribute to the risk.
C) Correct. Prolonged immobility, surgical trauma, and changes in blood clotting are common risk factors for post-surgery pulmonary embolism.
D) Incorrect. Excessive fluid intake during recovery is not a primary risk factor for post-surgery pulmonary embolism.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
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.
Correct Answer is D
Explanation
A) Incorrect. Wheezing is a high-pitched whistling sound that occurs during expiration and is not associated with crackling sounds.
B) Incorrect. Rhonchi are continuous low-pitched sounds heard during both inspiration and expiration, usually due to airway obstruction.
C) Incorrect. Stridor is a high-pitched, crowing sound that occurs during inspiration and suggests upper airway obstruction.
D) Correct. Rales, also known as crackles, are crackling or popping sounds heard during inspiration and can be indicative of fluid or inflammation in the lungs, which can occur with pulmonary embolism.
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