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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct. Chest pain that worsens with deep breaths (pleuritic chest pain) is a common and concerning symptom of pulmonary embolism.
B) Incorrect. Persistent cough with yellow-green mucus production is not a typical symptom of pulmonary embolism.
C) Incorrect. Lightheadedness and dizziness can be associated with pulmonary embolism but are less specific symptoms.
D) Incorrect. Swelling and redness in the lower legs are more indicative of deep vein thrombosis (DVT), which can sometimes lead to pulmonary embolism but are not direct symptoms of pulmonary embolism.
Correct Answer is C
Explanation
A) Incorrect. Prolonged sitting during travel, especially on long flights, can increase the risk of pulmonary embolism due to immobility.
B) Incorrect. Long-term anticoagulant therapy is often prescribed to reduce the risk of pulmonary embolism, not increase it.
C) Correct. Prolonged immobility, such as sitting for long hours or bed rest, is a significant risk factor for pulmonary embolism.
D) Incorrect. Recent surgery, trauma, or hospitalization can increase the risk of developing pulmonary embolism due to factors such as immobility and altered blood clotting.
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