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?
"Chest pain that worsens with deep breaths."
"Persistent cough with yellow-green mucus production."
"Lightheadedness and dizziness upon standing."
"Swelling and redness in the lower legs."
The Correct Answer is A
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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Incorrect. Anhedonia refers to the inability to experience pleasure and is not the best description of the client's symptom.
B) Incorrect. Euphoria is a state of intense happiness or elation, which is not consistent with the client's report.
C) Correct. The client's feeling of impending doom and restlessness is characteristic of anxiety, which can occur in response to a pulmonary embolism.
D) Incorrect. Apathy refers to a lack of interest or emotion and does not describe the client's state of restlessness and fear.
Correct Answer is C
Explanation
A) Incorrect. tPA therapy is not primarily used for pain relief but rather for clot dissolution.
B) Incorrect. While improving lung function and oxygenation is a goal in treating pulmonary embolism, tPA's primary purpose is to dissolve existing blood clots.
C) Correct. tPA (tissue plasminogen activator) is a thrombolytic agent used to break down and dissolve existing blood clots in the pulmonary arteries, improving blood flow.
D) Incorrect. tPA is not used to prevent the formation of new blood clots but rather to treat existing clots.
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