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)

Answer and Explanation

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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Correct Answer is C

Explanation

A) Incorrect. Surgery, especially major procedures, can increase the risk of pulmonary embolism.

B) Incorrect. The risk of pulmonary embolism is often higher after major surgeries, not limited to minor procedures.

C) Correct. Major surgeries and procedures carry a higher risk of pulmonary embolism due to factors like immobility and surgical trauma.

D) Incorrect. While genetics can play a role in clotting disorders, surgery remains a significant risk factor for pulmonary embolism.

A. Administering pain medication B. Initiating anticoagulant therapy C. Providing supplemental oxygen D. Encouraging ambulation

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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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client inquires about the role of surgery in the development of pulmonary embolism. What should the nurse explain regarding this risk factor?

Correct Answer is C

Explanation

A client with pulmonary embolism is experiencing severe shortness of breath. Which nursing intervention takes priority in this situation?

Correct Answer is C

Explanation

A nurse is assessing a client with suspected pulmonary embolism. The client reports feeling a sudden sense of impending doom and restlessness. Which term best describes this psychological symptom?

A client asks a nurse if there are any lifestyle changes they can make to reduce the risk of developing a pulmonary embolism. What advice should the nurse provide?

A nurse is educating a client about the signs and symptoms of a pulmonary embolism. Which symptom should the nurse emphasize as a common and concerning presentation of pulmonary embolism?

A nurse is educating a client about the risk factors for pulmonary embolism. Which statement made by the client indicates a correct understanding of the risk factors?

A client recovering from major surgery asks a nurse about the risk of developing a pulmonary embolism postoperatively. What should the nurse include in the explanation of post-surgery risk factors?

A client diagnosed with pulmonary embolism is receiving oxygen therapy. What is the primary goal of oxygen therapy in this situation?

A nurse is assessing a client suspected of having a pulmonary embolism. Which symptom reported by the client is most indicative of this condition?

A nurse is explaining the risk factors for developing deep vein thrombosis (DVT) to a client. The client asks about the connection between DVT and pulmonary embolism. What should the nurse tell the client?