A client with pulmonary embolism is experiencing severe shortness of breath. Which nursing intervention takes priority in this situation?
Administering pain medication
Initiating anticoagulant therapy
Providing supplemental oxygen
Encouraging ambulation
The Correct Answer is C
A) Incorrect. While pain management is important, providing supplemental oxygen to address severe shortness of breath takes priority.
B) Incorrect. Initiating anticoagulant therapy is essential but may take some time to have an effect. Oxygen therapy should be provided immediately to address the client's oxygenation.
C) Correct. Providing supplemental oxygen is the priority intervention for a client with severe
shortness of breath to ensure adequate oxygenation.
D) Incorrect. Encouraging ambulation is not appropriate in a client with severe shortness of breath. Stabilizing the client's oxygenation and condition is the immediate concern.
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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 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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