A nurse is caring for a client with suspected pulmonary embolism. The client's oxygen saturation drops significantly, and the nurse observes cyanosis of the lips and nail beds. Which term best describes this clinical finding?
Jaundice
Pallor
Erythema
Cyanosis
The Correct Answer is D
A) Incorrect. Jaundice is a yellowing of the skin and sclera due to elevated bilirubin levels, which is not described in the client's symptoms.
B) Incorrect. Pallor refers to paleness of the skin, which is not consistent with the client's cyanosis.
C) Incorrect. Erythema refers to redness of the skin due to increased blood flow, which is not the best description of the client's symptoms.
D) Correct. Cyanosis is the bluish discoloration of the skin, lips, and nail beds due to decreased oxygen saturation in the blood, which is indicative of a severe oxygen deficit often seen in pulmonary embolism.
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Related Questions
Correct Answer is B
Explanation
A) Incorrect. DVT and pulmonary embolism are related conditions, and they share risk factors.
B) Correct. Deep vein thrombosis (DVT) in the legs can lead to pulmonary embolism if a clot dislodges and travels to the lungs.
C) Incorrect. DVT and pulmonary embolism are distinct conditions, although they are closely related due to their connection through blood clots.
D) Incorrect. DVT is not a more severe form of pulmonary embolism; they are separate but related conditions.
Correct Answer is C
Explanation
A) Incorrect. An IVC filter is not used to administer anticoagulant medications but rather to prevent blood clots from reaching the pulmonary circulation.
B) Incorrect. IVC filters are not used to prevent airway obstruction.
C) Correct. The primary purpose of an IVC filter is to capture and prevent blood clots from reaching the pulmonary circulation, reducing the risk of pulmonary embolism.
D) Incorrect. IVC filters are not used to deliver oxygen directly to the lungs but rather to prevent emboli from reaching the lungs.
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