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?

Aspirin

Warfarin (Coumadin)

Insulin

Nitroglycerin

Answer and Explanation

The Correct Answer is B

A) Incorrect. Aspirin is an antiplatelet agent, not a long-term anticoagulant, and it is typically not used as the primary treatment for pulmonary embolism.

B) Correct. Warfarin (Coumadin) is commonly used for long-term anticoagulation in individuals with a history of recurrent pulmonary embolism. It helps prevent the formation of new blood clots.

C) Incorrect. Insulin is used to manage blood sugar levels in diabetes and is not a medication for anticoagulation.

D) Incorrect. Nitroglycerin is used to relieve chest pain (angina) related to heart conditions but is not an anticoagulant.

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Correct Answer is C

Explanation

A) Incorrect. An IVC filter is not used to administer anticoagulant medications but rather to prevent blood clots from reaching the pulmonary circulation.

B) Incorrect. IVC filters are not used to prevent airway obstruction.

C) Correct. The primary purpose of an IVC filter is to capture and prevent blood clots from reaching the pulmonary circulation, reducing the risk of pulmonary embolism.

D) Incorrect. IVC filters are not used to deliver oxygen directly to the lungs but rather to prevent emboli from reaching the lungs.

A. "It occurs when bacteria enter the lungs and cause an infection, leading to blockage of the blood vessels." B. "A pulmonary embolism happens when a blood clot forms in the lungs and blocks the flow of blood." C. "It's the result of prolonged exposure to environmental toxins, which gradually damage the lung tissue." D. "Pulmonary embolism is caused by chronic inflammation in the airways, leading to restricted airflow."

Correct Answer is B

Explanation

A) Incorrect. This description is more aligned with a lung infection, such as pneumonia, not pulmonary embolism.

B) Correct. Pulmonary embolism is typically caused by a blood clot that travels to the lungs and obstructs the pulmonary arteries.

C) Incorrect. Prolonged exposure to environmental toxins is not the primary cause of pulmonary embolism.

D) Incorrect. Chronic inflammation in the airways is characteristic of conditions like chronic obstructive pulmonary disease (COPD) but not pulmonary embolism.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with pulmonary embolism is prescribed an inferior vena cava (IVC) filter. What is the primary purpose of an IVC filter in this situation?

Correct Answer is C

Explanation

A client asks a nurse about the process that leads to a pulmonary embolism. How should the nurse explain the pathophysiology of pulmonary embolism?

Correct Answer is B

Explanation

A nurse is assessing a client with suspected pulmonary embolism. The client reports feeling a sudden sense of impending doom and restlessness. Which term best describes this psychological symptom?

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?

A nurse is explaining to a client why pulmonary embolism is considered a life-threatening condition. What aspect of pulmonary embolism should the nurse emphasize?

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?

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 with a history of smoking asks the nurse about the relationship between smoking and the risk of pulmonary embolism. How should the nurse explain this relationship?

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 client suspected of having a pulmonary embolism complains of sudden chest pain and difficulty breathing. The nurse auscultates the client's chest and notes crackling sounds during inspiration. Which term describes these crackling sounds?