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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Related Questions
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.
Correct Answer is B
Explanation
A) Incorrect. Visualizing the heart's electrical activity is typically done with an electrocardiogram (ECG), not a V/Q scan.
B) Correct. A ventilation-perfusion (V/Q) scan is used to assess lung function and oxygenation and to detect areas of the lung where blood flow and air ventilation do not match, which can indicate a pulmonary embolism.
C) Incorrect. Measuring blood clotting time is typically done using coagulation tests such as prothrombin time (PT) or activated partial thromboplastin time (aPTT).
D) Incorrect. Evaluating kidney function is not the primary purpose of a V/Q scan.
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