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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Naxlex Comprehensive Predictor Exams
Related Questions
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.
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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