A nurse is assessing a client with suspected pulmonary embolism. The client reports feeling a sudden sense of impending doom and restlessness. Which term best describes this psychological symptom?
Anhedonia
Euphoria
Anxiety
Apathy
The Correct Answer is C
A) Incorrect. Anhedonia refers to the inability to experience pleasure and is not the best description of the client's symptom.
B) Incorrect. Euphoria is a state of intense happiness or elation, which is not consistent with the client's report.
C) Correct. The client's feeling of impending doom and restlessness is characteristic of anxiety, which can occur in response to a pulmonary embolism.
D) Incorrect. Apathy refers to a lack of interest or emotion and does not describe the client's state of restlessness and fear.
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Correct Answer is D
Explanation
A) Incorrect. Hemoptysis refers to coughing up blood, which is not described in the client's symptoms.
B) Incorrect. Orthopnea is the inability to breathe comfortably when lying flat and is not the best description of the client's symptoms.
C) Incorrect. Syncope refers to fainting or loss of consciousness, which is not the primary symptom described.
D) Correct. Dyspnea, or difficulty breathing, along with lightheadedness and rapid heart rate, is a common presentation of pulmonary embolism.
Correct Answer is A
Explanation
A) Correct. Chest pain that worsens with deep breaths (pleuritic chest pain) is a common and concerning symptom of pulmonary embolism.
B) Incorrect. Persistent cough with yellow-green mucus production is not a typical symptom of pulmonary embolism.
C) Incorrect. Lightheadedness and dizziness can be associated with pulmonary embolism but are less specific symptoms.
D) Incorrect. Swelling and redness in the lower legs are more indicative of deep vein thrombosis (DVT), which can sometimes lead to pulmonary embolism but are not direct symptoms of pulmonary embolism.
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