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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Incorrect. Mild shortness of breath during activities may not be unusual, but sudden or severe shortness of breath should be reported.
B) Correct. Chest pain that worsens with deep breathing or coughing may indicate a worsening of the pulmonary embolism and should be reported immediately.
C) Incorrect. Mild swelling in the ankles is not typically a sign of a pulmonary embolism. However, severe leg swelling or pain should be evaluated.
D) Incorrect. An occasional cough with clear sputum is not necessarily a sign of a pulmonary embolism. However, if the cough becomes severe or is associated with other symptoms, it should be reported.
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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