A client with a history of pulmonary embolism reports experiencing sudden shortness of breath, lightheadedness, and rapid heart rate. Which term best describes this clinical presentation?

Hemoptysis

Orthopnea

Syncope

Dyspnea

Answer and Explanation

The Correct Answer is D

A) Incorrect. Hemoptysis refers to coughing up blood, which is not described in the client's symptoms.

B) Incorrect. Orthopnea is the inability to breathe comfortably when lying flat and is not the best description of the client's symptoms.

C) Incorrect. Syncope refers to fainting or loss of consciousness, which is not the primary symptom described.

D) Correct. Dyspnea, or difficulty breathing, along with lightheadedness and rapid heart rate, is a common presentation of pulmonary embolism.

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Correct Answer is C

Explanation

A) Incorrect. tPA therapy is not primarily used for pain relief but rather for clot dissolution.

B) Incorrect. While improving lung function and oxygenation is a goal in treating pulmonary embolism, tPA's primary purpose is to dissolve existing blood clots.

C) Correct. tPA (tissue plasminogen activator) is a thrombolytic agent used to break down and dissolve existing blood clots in the pulmonary arteries, improving blood flow.

D) Incorrect. tPA is not used to prevent the formation of new blood clots but rather to treat existing clots.

A. "DVT and pulmonary embolism are entirely unrelated conditions and don't share any risk factors." B. "DVT can lead to pulmonary embolism because a clot formed in the legs can travel to the lungs." C. "Pulmonary embolism is a type of DVT, and the terms are used interchangeably." D. "DVT is a more severe form of pulmonary embolism and carries a higher risk."

Correct Answer is B

Explanation

A) Incorrect. DVT and pulmonary embolism are related conditions, and they share risk factors.

B) Correct. Deep vein thrombosis (DVT) in the legs can lead to pulmonary embolism if a clot dislodges and travels to the lungs.

C) Incorrect. DVT and pulmonary embolism are distinct conditions, although they are closely related due to their connection through blood clots.

D) Incorrect. DVT is not a more severe form of pulmonary embolism; they are separate but related conditions.

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A client with a history of pulmonary embolism reports experiencing sudden shortness of breath, lightheadedness, and rapid heart rate. Which term best describes this clinical presentation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with a pulmonary embolism who is receiving tissue plasminogen activator (tP therapy. What is the primary purpose of tPA in this situation?

Correct Answer is C

Explanation

A nurse is explaining the risk factors for developing deep vein thrombosis (DVT) to a client. The client asks about the connection between DVT and pulmonary embolism. What should the nurse tell the client?

Correct Answer is B

Explanation

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?

A client with a history of recurrent pulmonary embolism is prescribed long-term anticoagulant therapy. What medication is commonly used for long-term anticoagulation in this situation?

A nurse is educating a client diagnosed with pulmonary embolism about the treatment options. Which of the following interventions is a common initial treatment approach for pulmonary embolism?

A nurse is educating a client about the risk factors for pulmonary embolism. Which statement made by the client indicates a correct understanding of the risk factors?

A nurse is assessing a client suspected of having a pulmonary embolism. Which symptom reported by the client is most indicative of this condition?

A client inquires about the role of surgery in the development of pulmonary embolism. What should the nurse explain regarding this risk factor?

A nurse is educating a client about the signs and symptoms of a pulmonary embolism. Which symptom should the nurse emphasize as a common and concerning presentation of pulmonary embolism?

A client recently had surgery and is concerned about the risk of developing a pulmonary embolism. What risk factors should the nurse discuss with the client?