A nurse is caring for a client with a pulmonary embolism who is receiving tissue plasminogen activator (tP therapy. What is the primary purpose of tPA in this situation?
To reduce pain and discomfort associated with pulmonary embolism
To improve lung function and oxygenation
To dissolve existing blood clots in the pulmonary arteries
To prevent the formation of new blood clots
The Correct Answer is C
A) Incorrect. tPA therapy is not primarily used for pain relief but rather for clot dissolution.
B) Incorrect. While improving lung function and oxygenation is a goal in treating pulmonary embolism, tPA's primary purpose is to dissolve existing blood clots.
C) Correct. tPA (tissue plasminogen activator) is a thrombolytic agent used to break down and dissolve existing blood clots in the pulmonary arteries, improving blood flow.
D) Incorrect. tPA is not used to prevent the formation of new blood clots but rather to treat existing clots.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Incorrect. An echocardiogram does not visualize blood clots in the pulmonary arteries; it focuses on assessing heart function and structure.
B) Correct. An echocardiogram provides valuable information about heart valve function and heart structure, helping assess the impact of a pulmonary embolism on the heart.
C) Incorrect. Measurement of arterial blood gases (ABGs) is typically performed through blood sampling, not with an echocardiogram.
D) Incorrect. Echocardiograms do not evaluate lung function and ventilation; they primarily assess cardiac function.
Correct Answer is C
Explanation
A) Incorrect. While pain management is important, providing supplemental oxygen to address severe shortness of breath takes priority.
B) Incorrect. Initiating anticoagulant therapy is essential but may take some time to have an effect. Oxygen therapy should be provided immediately to address the client's oxygenation.
C) Correct. Providing supplemental oxygen is the priority intervention for a client with severe
shortness of breath to ensure adequate oxygenation.
D) Incorrect. Encouraging ambulation is not appropriate in a client with severe shortness of breath. Stabilizing the client's oxygenation and condition is the immediate concern.
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