A nurse is caring for a client with suspected pulmonary embolism who is undergoing diagnostic testing. What diagnostic test is often used as an initial screening tool for pulmonary embolism?
Computed tomography angiography (CTA)
Magnetic resonance imaging (MRI)
Chest X-ray
Electrocardiogram (ECG)
The Correct Answer is A
A) Correct. Computed tomography angiography (CTA) is often used as an initial screening tool for pulmonary embolism, as it provides detailed images of the pulmonary arteries.
B) Incorrect. Magnetic resonance imaging (MRI) may be used in some cases but is less commonly employed as an initial screening tool for pulmonary embolism.
C) Incorrect. Chest X-ray is typically not sensitive enough to diagnose pulmonary embolism directly but may show other related findings, such as an enlarged heart or lung abnormalities.
D) Incorrect. Electrocardiogram (ECG) may help identify signs of right heart strain or dysfunction caused by a pulmonary embolism but is not a primary diagnostic tool for detecting emboli in the pulmonary arteries.
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Related Questions
Correct Answer is B
Explanation
A) Incorrect. Pulmonary angiography involves the injection of contrast dye into the pulmonary arteries, not the insertion of a scope into the lungs.
B) Correct. Remaining still during the procedure is crucial to obtain clear images, and the client should be educated about the importance of cooperation.
C) Incorrect. Allergies to contrast dye can be a concern, and the client should inform the healthcare team of any allergies to prevent potential adverse reactions.
D) Incorrect. Mild discomfort and chest pain are not common during pulmonary angiography and should not be expected. The procedure is typically done under local anesthesia, and any discomfort should be reported to the healthcare team.
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.
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