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.
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
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.
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