A nurse is assessing a client suspected of having a pulmonary embolism. Which symptom reported by the client is most indicative of this condition?
Fatigue and generalized weakness
Persistent dry cough and sore throat
Sharp, stabbing chest pain that worsens with deep breaths
Increased appetite and weight gain
The Correct Answer is C
A) Incorrect. Fatigue and weakness can be nonspecific symptoms and are not specific to pulmonary embolism.
B) Incorrect. While cough and sore throat can be symptoms of respiratory conditions, they are not specific to pulmonary embolism.
C) Correct. Sharp, stabbing chest pain that worsens with deep breaths, known as pleuritic chest pain, is a classic symptom of pulmonary embolism.
D) Incorrect. Increased appetite and weight gain are not typically associated with pulmonary embolism and may suggest other conditions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Incorrect. Visualizing the heart's electrical activity is typically done with an electrocardiogram (ECG), not a V/Q scan.
B) Correct. A ventilation-perfusion (V/Q) scan is used to assess lung function and oxygenation and to detect areas of the lung where blood flow and air ventilation do not match, which can indicate a pulmonary embolism.
C) Incorrect. Measuring blood clotting time is typically done using coagulation tests such as prothrombin time (PT) or activated partial thromboplastin time (aPTT).
D) Incorrect. Evaluating kidney function is not the primary purpose of a V/Q scan.
Correct Answer is C
Explanation
A) Incorrect. Smoking can influence the risk of pulmonary embolism, typically increasing it.
B) Incorrect. Smoking is generally associated with increased pulmonary embolism risk, not reduced risk.
C) Correct. Smoking can damage blood vessels and promote clot formation, contributing to the risk of
pulmonary embolism.
D) Incorrect. Both the duration and amount of smoking can impact pulmonary embolism risk.
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