A nurse is assessing a client who is postoperative and has a history of pulmonary embolism. Which of the following findings is the priority for the nurse to report to the provider?
Hypotension
Tachycardia
Dyspnea
Dry cough
The Correct Answer is C
A. Hypotension is a concern but may occur for various reasons and is not as immediately life-threatening as dyspnea.
B. Tachycardia can indicate a problem but is less urgent than respiratory distress.
C. Dyspnea is the priority as it may indicate a recurrence of pulmonary embolism or another life-threatening respiratory issue.
D. A dry cough is a less urgent symptom and does not require immediate reporting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Oral hygiene is important but not necessary before postural drainage.
B. Using a bronchodilator such as albuterol before postural drainage helps open the airways, making it easier to clear mucus.
C. Eating a meal before postural drainage can increase the risk of aspiration.
D. Pancrelipase is used to aid digestion and is taken before meals, not before postural drainage.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Explanation
Sepsis: Preterm neonates are at increased risk for infections, including sepsis. Discontinuation of feedings, along with the other signs observed (such as abdominal distention, blood in stool, lethargy, and hypotonia), may suggest the onset of infection, which requires close monitoring.
Hypotension: Preterm neonates are also at risk for hypotension due to immature circulatory systems. The stress of gastrointestinal disturbances, such as abdominal distention and the potential for necrotizing enterocolitis (NEC), can result in decreased perfusion, contributing to hypotension.
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