A nurse is educating a client who presents with a pulmonary embolism. Which of the following information should the nurse provide?

Treatment is not needed if the client is hemodynamically stable.

Treatment is not needed if the client is asymptomatic.

Treatment is needed for all clients who have a pulmonary embolism.

Treatment is not needed if the pulmonary embolism is intermediate.

Answer and Explanation

The Correct Answer is C

A. Treatment is not needed if the client is hemodynamically stable. Even if a client is hemodynamically stable, a pulmonary embolism still poses a serious risk of progression or recurrence and requires anticoagulation or other appropriate interventions to prevent complications or death.
B. Treatment is not needed if the client is asymptomatic. An asymptomatic pulmonary embolism is still clinically significant. Without treatment, clots can enlarge or lead to future embolic events. Thus, treatment is still warranted regardless of symptom presence.
C. Treatment is needed for all clients who have a pulmonary embolism. All clients with a diagnosed pulmonary embolism should receive prompt treatment, such as anticoagulants or thrombolytics depending on severity, to prevent morbidity and mortality from clot progression or recurrence.
D. Treatment is not needed if the pulmonary embolism is intermediate. Intermediate-risk pulmonary embolisms require medical management and close monitoring. Treatment decisions may vary, but anticoagulation is still generally indicated to avoid complications like right ventricular failure.

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Correct Answer is ["B","C","D","E"]

Explanation

A. Light sensitivity: While light sensitivity can occur with various neurological conditions, it is not a primary manifestation of a ruptured cerebral aneurysm. The more typical signs are related to sudden neurological changes such as loss of consciousness and visual disturbances.
B. Loss of consciousness: A ruptured cerebral aneurysm can lead to a sudden increase in intracranial pressure, which may result in a loss of consciousness. This is a critical sign of the severity of the rupture and the need for immediate medical intervention.
C. A dilated pupil: A dilated pupil may be observed following a ruptured cerebral aneurysm due to pressure on the third cranial nerve, which controls the constriction of the pupil. This is a significant neurological finding and is often seen in cases of increased intracranial pressure.
D. Visual disturbances: Visual disturbances, such as blurred or double vision, can occur due to the impact of increased pressure on the optic nerve or the brain areas responsible for visual processing. This is a common sign associated with ruptured cerebral aneurysms.
E. Nausea and vomiting: Nausea and vomiting are common symptoms following a ruptured cerebral aneurysm due to the increased intracranial pressure. These symptoms typically occur due to irritation of the vomiting center in the brain or pressure exerted on the brainstem.
F. Numbness on one side of the face: Numbness typically occurs when there is direct damage to a specific area of the brain that controls sensation. Numbness on one side of the face is more likely to result from a stroke or other ischemic event rather than a ruptured cerebral aneurysm, which typically presents with more generalized symptoms.

A. Client's age B. History of sickle cell disease C. Parent who has cardiovascular dis D. Hypertension

Correct Answer is D

Explanation

A. Client's age: Age is a non-modifiable risk factor for stroke. As individuals get older, their risk of stroke increases due to vascular changes, but this is not something that can be altered or controlled through interventions or lifestyle changes.
B. History of sickle cell disease: Sickle cell disease increases stroke risk due to its effects on blood viscosity and vessel occlusion, but it is a genetic condition. Therefore, it is considered a non-modifiable risk factor, although managing the disease can help reduce complications.
C. Parent who has cardiovascular disease: Having a parent with cardiovascular disease increases one’s risk for stroke due to inherited genetic predisposition. However, this familial risk is not something the client can change, making it a non-modifiable factor.
D. Hypertension: Hypertension is the most significant modifiable risk factor for stroke. It can be managed through lifestyle changes, medication, and monitoring, thereby significantly reducing the client’s risk of future strokes.

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A nurse is educating a client who presents with a pulmonary embolism. Which of the following information should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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