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.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Ataxia: Ataxia is a neurologic manifestation that may occur in diabetes insipidus due to severe dehydration and resulting hypernatremia. Elevated sodium levels can disrupt normal brain function, leading to symptoms like unsteadiness, confusion, muscle twitching, and poor coordination, which may progress if not corrected.
B. Poor skin turgor: Poor skin turgor is a clinical sign of dehydration but reflects fluid loss in the integumentary system rather than a neurologic complication. It helps assess fluid volume status but does not involve cognitive or motor function changes.
C. Hypotension: Hypotension is commonly seen in diabetes insipidus due to volume depletion from excessive urination. However, it is a circulatory effect and does not directly reflect neurologic involvement or function.
D. Dilute urine: Producing large amounts of dilute urine is a defining feature of DI, caused by a deficiency of antidiuretic hormone or kidney resistance to it. This finding pertains to renal output rather than a neurologic complication.

A. The liver releases glucagon to regulate blood glucose levels." B. "The adrenal glands release epinephrine and norepinephrine to respond to low blood glucose." C. "Glycogenesis occurs in the pancreas when blood glucose levels fall." D. "The brain uses protein for energy if glucose levels fall too low."

Correct Answer is B

Explanation

A. The liver releases glucagon to regulate blood glucose levels: The liver does release glucagon, but glucagon's role is to stimulate the liver to release glucose into the bloodstream, not to regulate blood glucose directly. Glucagon is released in response to low blood glucose levels to raise them, but the adrenal glands play a larger role in regulating glucose in the short term.
B. The adrenal glands release epinephrine and norepinephrine to respond to low blood glucose: When blood glucose levels drop, the adrenal glands release epinephrine (adrenaline) and norepinephrine. These hormones stimulate glucose release from the liver and promote glucose production to help increase blood sugar levels. This is the correct response to hypoglycemia, as these hormones help combat low blood sugar quickly.
C. Glycogenesis occurs in the pancreas when blood glucose levels fall: Glycogenesis refers to the process of glucose being stored as glycogen, primarily in the liver and muscles, and not the pancreas. When blood glucose levels fall, glycogenolysis (the breakdown of glycogen into glucose) occurs, not glycogenesis, to raise glucose levels. The pancreas releases insulin and glucagon, but not for storing glucose.
D. The brain uses protein for energy if glucose levels fall too low: While the brain primarily uses glucose for energy, when glucose levels are critically low, it will use ketones, not protein, for energy. Protein breakdown for energy is typically a later response, and the body generally tries to prevent using protein for energy as long as possible due to its importance in cellular functions.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

A nurse is providing care for an older adult client who has diabetes insipidus (DI). The nurse should monitor the client for which of the following neurologic effects?

Correct Answer is A

Explanation

A nurse is providing education to a client who has hypoglycemia. Which of the following information should the nurse include about the regulation of blood glucose levels?

Correct Answer is B

Explanation

A nurse is providing care for a client who has diabetes mellitus. Which of the following laboratory findings indicates the client most likely to be diagnosed with diabetic ketoacidosis (DKA)?

A client's arterial blood gas (ABG) results show a pH of 7.30, PaCO2 of 40 mmHg, HCO3- of 20 mEq/L. These findings indicate which of the following conditions?

Which of the following is true regarding the physiology of an open pneumothorax?

A nurse is reviewing a client's laboratory results and sees that their hemoglobin A1C is 9%. Which of the following statements from the nurse is appropriate?

A nurse is caring for a client who has kidney cancer and has been told it has metastasized. Which of the following statements should the nurse make when the client asks what metastasis means?

A nurse is assessing a client who has suspected acute respiratory distress syndrome (ARDS). The nurse should identify that which of the following is the most common presenting manifestation of ARDS?

A nurse is planning care for a client who has a traumatic brain injury (TBI). Which of the following nursing interventions should be added to the plan of care? (Select All that Apply.)

A nurse is planning care for a client who has a spinal cord injury and spasm-induced incontinence. Which of the following medications should the nurse anticipate a prescription for?