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 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. "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 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 nurse is teaching a client about the risk factors for pulmonary embolism. The client asks about the connection between pregnancy and pulmonary embolism risk. How should the nurse respond?

Correct Answer is B

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 with a history of pulmonary embolism asks the nurse about ways to prevent future episodes. What should the nurse include in the response?

A nurse is caring for a client with suspected pulmonary embolism. The client's oxygen saturation drops significantly, and the nurse observes cyanosis of the lips and nail beds. Which term best describes this clinical finding?

A nurse is caring for a client with suspected pulmonary embolism who is undergoing diagnostic testing. What diagnostic test is often used as an initial screening tool for pulmonary embolism?

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 providing education to a client who has been diagnosed with a pulmonary embolism. The client asks, "What exactly is a pulmonary embolism?" How should the nurse respond?

A client asks a nurse if there are any lifestyle changes they can make to reduce the risk of developing a pulmonary embolism. What advice should the nurse provide?

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?

A client with pulmonary embolism is experiencing severe shortness of breath. Which nursing intervention takes priority in this situation?