A nurse is caring for a client suspected of having a pulmonary embolism. Which diagnostic test is commonly used to confirm the presence of a pulmonary embolism?
Chest X-ray
Electrocardiogram (ECG)
Magnetic resonance imaging (MRI)
Computed tomography pulmonary angiography (CTPA)
The Correct Answer is D
A) Incorrect. Chest X-rays can show certain abnormalities but are not the primary diagnostic tool for pulmonary embolism.
B) Incorrect. Electrocardiograms (ECGs) are used to assess heart rhythm and electrical activity but are not used to diagnose pulmonary embolism.
C) Incorrect. Magnetic resonance imaging (MRI) may be used in some cases, but CTPA is the preferred test for diagnosing pulmonary embolism.
D) Correct. Computed tomography pulmonary angiography (CTPA) is the gold standard for diagnosing pulmonary embolism as it can visualize blood clots in the pulmonary arteries.
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Related Questions
Correct Answer is B
Explanation
A) Incorrect. Intravenous antibiotics are not typically used as the initial treatment for pulmonary embolism. Antibiotics are used to treat bacterial infections, not blood clots.
B) Correct. Anticoagulant therapy, such as heparin or low-molecular-weight heparin, is often the initial treatment for pulmonary embolism to prevent further clot formation and reduce the risk of complications.
C) Incorrect. Emergency surgical removal of the embolism is considered in severe cases but is not the common initial treatment approach.
D) Incorrect. Placement of a chest tube for drainage is not a standard treatment for pulmonary embolism; it is used for conditions involving pleural effusion or pneumothorax.
Correct Answer is C
Explanation
A) Incorrect. Surgery, especially major procedures, can increase the risk of pulmonary embolism.
B) Incorrect. The risk of pulmonary embolism is often higher after major surgeries, not limited to minor procedures.
C) Correct. Major surgeries and procedures carry a higher risk of pulmonary embolism due to factors like immobility and surgical trauma.
D) Incorrect. While genetics can play a role in clotting disorders, surgery remains a significant risk factor for pulmonary embolism.
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